Individual
DR. GEOFFREY R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4428 VIA JUANITA, NEWBURY PARK, CA 91320-6819
(805) 262-2012
Mailing address
4428 VIA JUANITA, NEWBURY PARK, CA 91320-6819
(805) 262-2012
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A89734
CA
207Q00000X
Family Medicine Physician
A89734
CA
Other
Enumeration date
08/16/2006
Last updated
03/13/2009
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