Search › Missouri › 207LP2900X
Clinton Harris, MD
NPI 1417940321 · on the registry since 2005
Practice
- Address
- 1241 W Stadium Blvd
Jefferson City, MO 65109 - Phone
- (573) 556-1706
- Fax
- (573) 556-5728
- Organisation at this address
- Ssm Health Businesses
Jcmg Surgery Center, Inc.
Ssm Regional Health Services
Jcmg Ancillary Services, Llc
Jefferson City Medical Group, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 127
Registry record
- Primary taxonomy
- 207LP2900X
207LP2900X
- Also registered as
- 207L00000X
207L00000X
207LP2900X - Licence states on file
- IA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri