MR. Blake R Harris, PA

NPI #1790861151 in Weaverville, California

Provider Information

NPI Number
1790861151
Entity Type
Individual
Name
MR. Blake R Harris, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Oct 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
410 N TAYLOR STREET
ZIP Code
96093
Phone
(530) 623-4186

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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