Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLINTON LEE HARRIS, MD
ActiveCLINTON LEE HARRIS, MD is a Pain Medicine (Anesthesiology) healthcare provider located in JEFFERSON CITY, Missouri. NPI 1417940321 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · JEFFERSON CITY, MO
Registration Details
- NPI Number
- 1417940321
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2005 (21.007297110313 yrs)
- Last Updated
- Aug 16, 2023
- Licenses
-
35473 (IA)2014015594 (MO)35473 (IA)2014015594 (MO)
Practice Information
- Address
-
1241 W STADIUM BLVDJEFFERSON CITY, MO, 651096023Browse MO providers · Browse ZIP 65109
- Phone
- 5735561706
- Fax
- 5735565728
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Pain Medicine (Anesthesiology)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.