Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HARRISON C PUTMAN III, MD
Active Sole ProprietorHARRISON C PUTMAN III, MD is a Facial Plastic Surgery healthcare provider located in PEORIA, Illinois. NPI 1477524171 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · PEORIA, IL
Registration Details
- NPI Number
- 1477524171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.546715896493 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
7301 N KNOXVILLE AVEPEORIA, IL, 616142017Browse IL providers · Browse ZIP 61614
- Phone
- 3095893233
- Fax
- 3096834120
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
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.