Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 57 | MT |
NPI | 1134282791 |
---|---|
Provider Name | Dr. Marc Harris |
First Address | Bozeman, MT 59718-6069 |
Second Address | Bozeman, MT 59718-6069 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 08/07/2007 |