Organization
RODERICK O HARRIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NANCY BOLANOS CMC (BILLING SPECIALIST)
(559) 495-3120
Entity
Organization
Contact information
Practice address
7081 N MARKS AVE # 104-331, FRESNO, CA 93711-0232
(559) 495-3120
Mailing address
7081 N MARKS AVE # 104-331, FRESNO, CA 93711-0232
(559) 495-3120
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G36995
CA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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