Individual
THOMAS GREGORY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S RAYMOND AVE, PASADENA, CA 91105-3229
(626) 795-8051
(626) 795-0356
Mailing address
PO BOX 90730, PASADENA, CA 91109-0730
(626) 795-8051
(626) 795-0356
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A90250
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A90250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BD761Z
MEDICARE PIN
CA
01
—
P00432226
RAIL ROAD MEDICARE
CA
Enumeration date
07/18/2006
Last updated
06/27/2024
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