Individual provider · Type 1 NPI
Steven Wayne Harris, PA
Medical Physician Assistant · Los Alamos, NM
NPI number
1922066455
Active
Practice location
3917 West Road #250
Los Alamos, NM 87544-5302
Fax (505) 661-4199
Mailing address
1620 N Main St
Spanish Fork, UT 84660-1008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 53426961206 (UT) |
| Medical Physician Assistant Primary | 363AM0700X | PA2011-0036 (NM) |
Medical Physician Assistant: Definition to come...
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About NPI 1922066455
Steven Wayne Harris, PA's National Provider Identifier is 1922066455, issued on May 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Alamos, NM. The record was last updated on Jul 14, 2020.