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Individual

DR. GERALD EDWIN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
595 BUCKINGHAM WAY, SUITE 430, SAN FRANCISCO, CA 94132-1909
(415) 242-5433
(415) 242-8904
Mailing address
595 BUCKINGHAM WAY, SUITE 430, SAN FRANCISCO, CA 94132-1909
(415) 242-5433
(415) 242-8904

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G12151
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GR0088860
MEDI-CAL
CA
Enumeration date
10/03/2005
Last updated
09/22/2009
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