NPI 1134955040

James W Harris, CSFA

Practitioner Surgical Physician Assistant O Fallon, MO

Practice location

Address: 7827 Town Square Ave STE 104, O Fallon, MO 63368-7199
Phone: (636) 734-0386
Mailing address: 7048 Middlevalley Walk, Saint Louis, MO 63123-2417

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

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Registry record

NPI: 1134955040
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2024
Record last updated: 9 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.