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Contact Information

STEVEN W HARRIS, PA
3917 WEST ROAD #250
LOS ALAMOS, NM87544-5302
 Phone: 505-661-4147
 Fax: 505-661-4199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEVEN W HARRIS · (Male)

NPI Number 1922066455
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/03/2006
Last updated 07/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2011-0036
  • UT License # 53426961206
  • UT Medicaid 870281028000
  • UT Other P00084336 PALMETTO GBA
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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