Mattice F Harris JR. M.D.

NPI 1457451312 - Family Medicine - 207Q00000X

NPI Details
NPI 1457451312
Gender Male
Enumeration Date 09/22/2006
Last Updated 03/09/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1448 FLORIDA AVE
MODESTO CA, 95350-4424, US
Phone (209) 523-1884
Fax (209) 522-6002
Business Location
1448 FLORIDA AVE
MODESTO CA, 95350-4424, US
Phone (209) 523-1884
Fax (209) 522-6002
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A30464
Remove 1457451312 NPI Number
 

According to our database, Dr. Mattice F Harris JR. M.D. NPI is 1457451312, taxonomy code is 207Q00000X and license number is A30464, license state is located at California. Mattice F Harris JR. M.D. physically located at 1448 Florida Ave, Modesto CA, 95350-4424. NPI Number Mattice F Harris JR. M.D. has the Individual type.

Sponsored links

1457451312 NPI number is provided on an as is basis without warranty of any kind. 1457451312 is maintained by the National Plan & Provider Enumeration System. The contents of Mattice F Harris JR. M.D. are for informational purposes only.