Individual
RODERICK OWEN HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
681 MEDICAL CENTER DR W, SUITE #101, CLOVIS, CA 93611-6803
(559) 299-9000
(559) 299-8581
Mailing address
681 MEDICAL CENTER DR W, SUITE #101, CLOVIS, CA 93611-6803
(559) 299-9000
(559) 299-8581
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G36995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G369950
BLUE CROSS
—
05
—
00G369950
—
CA
Enumeration date
04/03/2006
Last updated
07/08/2007
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