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Contact Information

PETER HARRIS
140 LITTON DR STE 100
GRASS VALLEY, CA95945-5078
 Phone: 530-272-9780
 Fax: 530-272-0156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for PETER HARRIS · (Male)

NPI Number 1134563109
Status Active
Credentials
Entity Individual
Enumeration date 04/22/2013
Last updated 12/05/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A136735
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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