Individual provider · Type 1 NPI
Roger Leon Harrison
Medical Physician Assistant · Fort Bragg, NC
NPI number
1265740674
Active
Practice location
2817 Reilly Road Mxcx-Cod Credentials, Womack Army Medical Center
Fort Bragg, NC 28310
Fax (910) 907-6069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1265740674
Roger Leon Harrison's National Provider Identifier is 1265740674, issued on Sep 20, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Bragg, NC. The record was last updated on Sep 20, 2010.