Mike E Harris O.D.

NPI 1104819333 - Optometrist - 152W00000X

NPI Details
NPI 1104819333
Gender Male
Enumeration Date 08/23/2005
Last Updated 05/15/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
1328 E 12TH ST
CASPER WY, 82601-3912, US
Phone (307) 237-8713
Fax (307) 237-5740
Business Location
1328 E 12TH ST
CASPER WY, 82601-3912, US
Phone (307) 237-8713
Fax (307) 237-5740
Toxanomy
Taxonomy Code 152W00000X
License State Wyoming
License Number 127T
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According to our database, Dr. Mike E Harris O.D. NPI is 1104819333, taxonomy code is 152W00000X and license number is 127T, license state is located at Wyoming. Mike E Harris O.D. physically located at 1328 E 12th St, Casper WY, 82601-3912. NPI Number Mike E Harris O.D. has the Individual type.

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1104819333 NPI number is provided on an as is basis without warranty of any kind. 1104819333 is maintained by the National Plan & Provider Enumeration System. The contents of Mike E Harris O.D. are for informational purposes only.