Individual provider · Type 1 NPI

Dianne Yvonne Harris, MD

Military Health Care Provider · Travis Afb, CA

NPI number 1457379455 Active

Practice location

101 Bodin Cir, Sgcxe
Travis Afb, CA 94535-1809

Call (707) 423-7165 Map

Mailing address

5164 Bass Ct
Fairfield, CA 94534-6621

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XG064099 (CA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1457379455

Dianne Yvonne Harris, MD's National Provider Identifier is 1457379455, issued on Jul 17, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Travis Afb, CA. The record was last updated on Feb 11, 2022.