Individual
DR. HARRISON R MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 SANTA FE DR, SUITE 207, ENCINITAS, CA 92024-5140
(760) 436-8866
(760) 436-9838
Mailing address
320 SANTA FE DR, SUITE 207, ENCINITAS, CA 92024-5140
(760) 436-8866
(760) 436-9838
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C32355
CA
207NS0135X
Procedural Dermatology Physician
C32355
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C32355
CA LICENSE #
CA
Enumeration date
12/08/2005
Last updated
02/22/2010
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