Individual
DR. STEVEN A. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1299 NEWELL HILL PL, SUITE 103, WALNUT CREEK, CA 94596-5292
(925) 947-0505
(925) 947-1515
Mailing address
PO BOX 1527, ORINDA, CA 94563-0682
(925) 947-0505
(925) 947-1515
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
G63736
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
G63736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G637360
—
CA
01
—
ZZZ28801Z
MEDICARE GROUP #
CA
Enumeration date
07/11/2006
Last updated
05/02/2017
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