MEDICARE: DR. ROBERT FRANCIS HARRIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	G23310	CA

General Provider Information

NPI Number	:	1134363492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT FRANCIS HARRIS M.D.

Provider Business Mailing Address
First Line	:	445 BURGESS DR STE 150
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-3475
Country	:	US
Telephone Number	:	650-329-0886
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 BURGESS DR STE 150
Second Line	:
City	:	MENLO PARK
State	:	CA
Zip	:	94025-3475
Country	:	US
Telephone Number	:	650-329-0886
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2009
Last Update Date	:	04/29/2009

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