Individual
DR. RODERICK EDWARD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 MERCY AVE STE 400, MERCED, CA 95340-8368
(209) 564-3700
(209) 564-3799
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C39701
CA
Other
Enumeration date
08/23/2007
Last updated
06/05/2019
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