Harris, Roderick Owen

Harris, Roderick Owen is an individual health care provider with primary practice located at 681 Medical Center Dr W Suite #101, Clovis CA 93611-6803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Harris, Roderick Owen can be contacted via phone (559) 299-9000.

Contact Information

Primary practice address
681 Medical Center Dr W Suite #101 Clovis CA 93611-6803
Phone: (559) 299-9000
Fax: (559) 299-8581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G36995 California

Profile Details

NPI number 1780646018
LBN Legal business name Harris, Roderick Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780646018 NPPES
Other 00G369950 BLUE CROSS
MEDICAID 00G369950 BLUE CROSS

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