Harrison Putman, MD

NPI 1477524171 · on the registry since 2006 · sole proprietor

Practice

Address: 7301 N Knoxville Ave
Peoria, IL 61614
Phone: (309) 589-3233
Fax: (309) 683-4120
Organisation at this address: Facial Plastic & Laser Surgery
Peoria Ear Nose And Throat Group Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 207YX0905X
207YX0905X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois