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NPI Code Detail

MEDICARE: DR. TODD J HARRIS DO

MEDICARE:  DR. TODD J HARRIS  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician8230MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114291OTHERMTBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063443901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TODD J HARRIS DO
Provider Business Mailing Address
First Line : FAMILY MEDICINE CLINIC
Second Line : 935 HIGHLAND BLVD STE 2200
City : BOZEMAN
State : MT
Zip : 59715-6915
Country : US
Telephone Number : 406-414-5700
Fax Number :
Provider Business Practice Location Address
First Line : 935 HIGHLAND BLVD
Second Line : SUITE 4400
City : BOZEMAN
State : MT
Zip : 59715-6904
Country : US
Telephone Number : 406-587-5123
Fax Number : 406-556-6758
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 05/29/2019

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Directions to “ DR. TODD J HARRIS DO” Practice Location

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