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Contact Information

JOHN D HARRIS, MD
2100 N MARTIN LUTHER KING BLVD
CLOVIS, NM88101
 Phone: 505-769-7257
 Fax: 505-769-7243
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JOHN D HARRIS · (Male)

NPI Number 1164414645
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 8944
  • WY License # 2272A
  • NM Medicaid 16545
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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