Homer Mccoy Harrison Jr. in Antioch - Medical

Homer Mccoy Harrison Jr. - NPI 1760523161

Homer Mccoy Harrison Jr. is a Medical in Antioch, California. Homer Mccoy Harrison Jr. practices all healthcare services and medical treatments related to Medical. The NPI Number for Homer Mccoy Harrison Jr. is 1760523161. The last update date is 2007-07-08.

Homer Mccoy Harrison Jr.'s current location address is 2421 Grimsby Dr, Antioch, California. You can contact this provider via phone number 9257782358. The mailing address for Homer Mccoy Harrison Jr. is 2421 Grimsby Dr, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Homer Mccoy Harrison Jr.
Address 2421 Grimsby Dr, Antioch, California
Phone Number 9257782358
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1760523161
Provider Enumeration Date 2007-02-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2421 Grimsby Dr
City Antioch
State California (CA)
Post Code 945095866
Phone Number 9257782358
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA10433
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Homer Mccoy Harrison Jr.

What is the unique provider identifier assigned to Homer Mccoy Harrison Jr.?

The Homer Mccoy Harrison Jr. has been issued the NPI (National Provider Identifier) 1760523161 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Homer Mccoy Harrison Jr.'s facilities are situated?

The facilities of Homer Mccoy Harrison Jr. are physically located at the following address: 2421 Grimsby Dr, Antioch, CA, 945095866.

What is Homer Mccoy Harrison Jr.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Homer Mccoy Harrison Jr. is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

On what date did the Homer Mccoy Harrison Jr. receive the assignment of its 1760523161 from the Centers for Medicare & Medicaid Services?

The Homer Mccoy Harrison Jr. was issued its 1760523161 by the Centers for Medicare & Medicaid Services on 2007-02-09.

When was the Homer Mccoy Harrison Jr.'s information last updated?

The Homer Mccoy Harrison Jr.'s information was last updated on 2007-07-08.

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