Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 10890 | NV |
Y | 208600000X | Surgeon | 10890 | NV |
N | 2086S0102X | Surgical Critical Care | 10890 | NV |
N | 2086S0127X | Trauma Surgeon | 10890 | NV |
N | 2086X0206X | Surgical Oncologist | 10890 | NV |
NPI | 1104862366 |
---|---|
Provider Name | Dr. James B Harris |
First Address | Reno, NV 89502-1464 |
Second Address | Reno, NV 89502-1464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 14/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100503887 | (05) | NV |
E36249 | (02) | NV |
V39624 | (02) | NV |