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DR. ELIZABETH AVIS HARRISON MD NPI 1225216054


NPI Information

NPI: 1225216054
Provider Name: DR. ELIZABETH AVIS HARRISON, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
4488 FOREST PARK AVE
STE 230
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 535-7855
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DR. Elizabeth Avis Harrison, MD is a pediatrics in Saint Louis, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Elizabeth Avis Harrison, MD NPI is 1225216054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4488 FOREST PARK AVE
STE 230
SAINT LOUIS, MO
ZIP 63108-283
Phone: (314) 535-7855
Fax: (314) 534-2803

The enumeration date for this NPI number is 2/4/2008 and was last updated on 11/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0204XPediatricsPediatric Emergency Medicine2009012114MISSOURINo
2208000000XPediatrics2009012114MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1204207906MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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