Individual provider · NPI-1

Stephen Mitchell Harris, IDMT

Military Health Care Provider, Independent Duty Medical Technicians · Langley Afb, VA

NPI number1225464837
StatusActive
Last updated in NPPESSep 16, 2013

Details

NPI
1225464837
Entity type
Individual (NPI-1)
Name
Stephen Mitchell Harris
Credential
IDMT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 16, 2013
Last updated
Sep 16, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––Yes

Practice location

49 Spruce St
Pcs Box 1000
Langley Afb, VA 23665-2800

Phone 757-848-8272

Mailing address

49 Spruce St
Pcs Box 1000
Langley Afb, VA 23665-2800

Phone 757-848-8272

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