OrganizationActive
Michael T Harris MD, PC
NPI 1285621532 · Primary Care Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1285621532
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Harris, Owner/Practitioner(208) 552-1222
- License
- M 6846 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3422 S 15th E
Idaho Falls, ID 83404-8262
Phone: (208) 552-1222
Fax: (208) 552-3377
Approximate (ZIP-level) locationGet directions
Mailing address
3422 S 15th E
Idaho Falls, ID 83404-8262
Registry dates
- Enumerated
- 2005-10-03
- Last updated
- 2008-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.