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Contact Information

MARK J HARRIS, MD
3551 E. OVERLAND RD.
MERIDIAN, ID83642
 Phone: 208-884-1333
 Fax: 208-489-4015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

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

NPI Number 1790825842
Status Active
Credentials MD
Entity Individual
Enumeration date 02/07/2007
Last updated 12/15/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M9811
Hospital affiliation(s)
  • 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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