Organization
DR GERALD B HARRIS II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD BARNES HARRIS II D.O. (OWNER)
(623) 977-0700
Entity
Organization
Contact information
Practice address
10615 W. THUNDERBIRD, STE. B-200, SUN CITY, AZ 85351-3055
(623) 977-0700
(623) 977-2315
Mailing address
10930 W CAMBRIDGE AVE, AVONDALE, AZ 85323-5905
(623) 977-0700
(623) 977-2315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4027
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
961252
—
AZ
Enumeration date
05/16/2007
Last updated
10/11/2007
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