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NPI Code Detail

MEDICARE: MR. ROBERT HARRIS PA-C

MEDICARE: MR. ROBERT HARRIS PA-C
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
1363A00000XPhysician AssistantPA 10550CA

General Provider Information

NPI Number : 1841278553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT HARRIS PA-C
Provider Business Mailing Address
First Line : 344 E 6TH ST
Second Line :
City : MADERA
State : CA
Zip : 93638-3631
Country : US
Telephone Number : 559-664-4000
Fax Number :
Provider Business Practice Location Address
First Line : 344 E 6TH ST
Second Line :
City : MADERA
State : CA
Zip : 93638-3631
Country : US
Telephone Number : 559-664-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 03/07/2023

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