Dr. Elizabeth Avis Harrison
Pediatrician Pediatric Emergency Doctor
4488 Forest Park Ave Ste 230
Saint Louis
, Missouri 63108-2283
Dr. Elizabeth Avis Harrison
Pediatrician Pediatric Emergency Doctor
4488 Forest Park Ave Ste 230
Saint Louis
, Missouri 63108-2283
(314) 534-2803
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About
Features
Specialties
- Pediatrician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Elizabeth Avis Harrison
- 4488 Forest Park Ave Ste 230
- Saint Louis, MO
- Zip : 63108-2283
- Fax : (314) 534-2803
- Phone : (314) 535-7855
Second Address
- Dr. Elizabeth Avis Harrison
- 4488 Forest Park Ave Ste 230
- Saint Louis, MO
- Zip : 63108-2283
- Fax : (314) 534-2803
- Phone : (314) 535-7855
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 2009012114 | MO |
| N | 2080P0204X | Pediatric Emergency Doctor | 2009012114 | MO |
National Provider Identifier
| NPI | 1225216054 |
|---|---|
| Provider Name | Dr. Elizabeth Avis Harrison |
| First Address | Saint Louis, MO 63108-2283 |
| Second Address | Saint Louis, MO 63108-2283 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/02/2008 |
| Last Update Date | 29/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 204207906 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.