Peter Harris
Adolescent Medicine
140 Litton Dr Ste 100
Grass Valley
, California 95945-5078
Peter Harris
Adolescent Medicine
140 Litton Dr Ste 100
Grass Valley
, California 95945-5078
(530) 272-9780
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Peter Harris
- Po Box 459001
- Grass Valley, CA
- Zip : 95945-9101
- Phone : (530) 272-9780
Second Address
- Peter Harris
- 140 Litton Dr Ste 100
- Grass Valley, CA
- Zip : 95945-5078
- Fax : (530) 272-0156
- Phone : (530) 272-9780
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | A136735 | CA |
National Provider Identifier
| NPI | 1134563109 |
|---|---|
| Provider Name | Peter Harris |
| First Address | Grass Valley, CA 95945-9101 |
| Second Address | Grass Valley, CA 95945-5078 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2013 |
| Last Update Date | 05/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.