Individual
MAURY K HARWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18181 BUTTERFIELD BLVD, STE 100, MORGAN HILL, CA 95037-8108
(408) 778-2663
(408) 778-9197
Mailing address
220 STANDIFORD AVE, SUITE F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A79199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A791990
BLUE SHIELD
CA
05
—
00A791990
—
CA
01
—
608896700
DEPT OF LABOR
CA
01
—
P00323030
RAIL ROAD MEDICARE
CA
Enumeration date
10/17/2006
Last updated
01/24/2018
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