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1790825842
MARK J HARRIS
MERIDIAN, ID
NPI
1790825842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: ID M9811)
Enumeration Date
2007-02-07
Last Update Date
2020-12-15
Business Address
MARK J HARRIS MD
3551 E. OVERLAND RD.
MERIDIAN, ID 83642
Phone number: 208-884-1333
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Mailing Address
MARK J HARRIS MD
600 W ROBBINS RD STE 300
BOISE, ID 83702-4568
Phone number: 208-884-1333
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