Individual
HARRIS DAVID SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13855 E 14TH ST, SAN LEANDRO, CA 94578-2611
(510) 918-4877
(510) 918-4877
Mailing address
6142 ANNAPURNA DR, EVERGREEN, CO 80439-5314
(510) 918-4877
(510) 918-4877
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2744
MN
207P00000X
Emergency Medicine Physician
320496
NY
207P00000X
Emergency Medicine Physician
Primary
G25305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G253050
BLUE SHEILD
CA
05
—
00G253050
—
CA
Enumeration date
11/07/2005
Last updated
03/15/2023
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