Individual
MAURY K HARWOOD
Active
Individual
MAURY K HARWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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