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Contact Information

TYLER J HARRIS, MD
1510 12TH AVE RD STE 100
NAMPA, ID83686
 Phone: 208-498-1333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TYLER J HARRIS · (Male)

NPI # 1962799460
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2011
Last updated 04/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-12361
  • MI License # 4301099332
  • OR License # MD180078
Hospital affiliation(s)
  • SAINT ALPHONSUS MEDICAL CENTER - NAMPA - (Acute Care)
    1512 TWELFTH AVENUE ROAD
    NAMPA, ID 83686
  • ST ALPHONSUS MEDICAL CENTER - ONTARIO INC - (Acute Care)
    351 SW 9TH STREET
    ONTARIO, OR 97914
  • ST ALPHONSUS REGIONAL MEDICAL CENTER - (Acute Care)
    1055 NORTH CURTIS ROAD
    BOISE, ID 83706
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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