Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | C37637 | CA |
Y | 207RH0003X | Hematology & Oncology | C37637 | CA |
N | 207RX0202X | Medical Oncology | C37637 | CA |
NPI | 1346265436 |
---|---|
Provider Name | Dr. David T Harrison |
First Address | Santa Maria, CA 93454-4890 |
Second Address | San Luis Obispo, CA 93401-7068 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 02/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A36701 | (02) |