Provider Demographics
NPI:1427172436
Name:HARRIS, JOSEPH A III (CSA)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:A
Last Name:HARRIS
Suffix:III
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 JULIAN ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80030-4232
Mailing Address - Country:US
Mailing Address - Phone:720-284-7200
Mailing Address - Fax:
Practice Address - Street 1:7801 JULIAN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4232
Practice Address - Country:US
Practice Address - Phone:720-540-9550
Practice Address - Fax:720-540-9551
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001029246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant