Individual provider · Type 1 NPI

Homer McCoy Harrison Jr., PA

Medical Physician Assistant · Stockton, CA

NPI number 1760523161 Active

Practice location

3663 Arch Rd
Stockton, CA 95215-8315

Call (209) 943-2202 Map

Mailing address

2421 Grimsby Dr
Antioch, CA 94509-5866

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10433 (CA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1760523161

Homer McCoy Harrison Jr., PA's National Provider Identifier is 1760523161, issued on Feb 9, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.