Harrison C Putman III
Otolaryngology/Facial Plastic Surgery
7301 N Knoxville Ave
Peoria
, Illinois 61614-2017
Harrison C Putman III
Otolaryngology/Facial Plastic Surgery
7301 N Knoxville Ave
Peoria
, Illinois 61614-2017
(309) 683-4120
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Harrison C Putman III
- 7301 N Knoxville Ave
- Peoria, IL
- Zip : 61614-2017
- Fax : (309) 683-4120
- Phone : (309) 589-3233
Second Address
- Harrison C Putman III
- 7301 N Knoxville Ave
- Peoria, IL
- Zip : 61614-2017
- Fax : (309) 683-4120
- Phone : (309) 589-3233
Reviews
FAQs
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Is Harrison C Putman III a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | IL |
National Provider Identifier
| NPI | 1477524171 |
|---|---|
| Provider Name | Harrison C Putman III |
| First Address | Peoria, IL 61614-2017 |
| Second Address | Peoria, IL 61614-2017 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7215792 | BCBS (01) | |
| C49337 | (02) |
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.