Organization
MAURY K HARWOOD MD MPH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURY K HARWOOD (PHYSICIAN/PRESIDENT)
(408) 778-2663
Entity
Organization
Contact information
Practice address
18181 BUTTERFIELD BLVD, SUITE 100, MORGAN HILL, CA 95037-8108
(408) 778-2663
(408) 778-9197
Mailing address
220 STANDIFORD AVE, SUITE F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A79199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A791900
—
CA
01
—
DE8907
RAIL ROAD MEDICARE
CA
01
—
ZZZ65903Z
BLUE SHIELD
CA
Enumeration date
10/17/2006
Last updated
01/24/2018
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