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Organization
ROCKLIN FAMILY PRACTICE AND SPORTS MEDICINE
Active
Organization
ROCKLIN FAMILY PRACTICE AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY MC HARRIS MD (PRESIDENT)
(916) 624-0300
Entity
Organization
Contact information
Practice address
3104 SUNSET BLVD, #2B, ROCKLIN, CA 95677
(916) 624-0300
(916) 624-0631
Mailing address
3104 SUNSET BLVD, #2B, ROCKLIN, CA 95677
(916) 624-0300
(916) 624-0631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G639720
—
CA
Enumeration date
08/15/2006
Last updated
04/04/2017
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