Individual
DR. GERALD BARNES HARRIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8914 N 91ST AVE STE 100A, PEORIA, AZ 85345-8390
(623) 877-0100
(623) 328-8713
Mailing address
8914 N 91ST AVE STE 100A, PEORIA, AZ 85345-8390
(623) 877-0100
(623) 328-8713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4027
AZ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
4027
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689676165
TYPE I NPI
—
01
—
1750598108
TYPE II NPI
—
05
—
961252
—
AZ
Enumeration date
08/15/2005
Last updated
03/11/2022
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