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Individual

DR. GEORGE THEODORE HARRIS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5029
(707) 423-5022
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5029
(707) 423-5022

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A12087
CA
2084N0400X
Neurology Physician
OP 60316845
WA

Other

Enumeration date
04/21/2008
Last updated
09/15/2014
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