Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BLAKE R HARRIS, PA
ActivePhysician Assistant · WEAVERVILLE, CA
Registration Details
- NPI Number
- 1790861151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2006 (19.524481062457 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA11470 (CA)
Practice Information
- Address
-
410 N TAYLOR STREETWEAVERVILLE, CA, 96093Browse CA providers · Browse ZIP 96093
- Phone
- 5306234186
- Fax
- 5306234397
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEAVERVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| JULIE EAKER | PHYSICIAN ASSISTANT | 1689076937 |
| DIEM-CHI NGUYEN | — | 1942775887 |
| SARA NADINE HOFFERBER | PA-C | 1114542966 |
| AARON S HOLLOWAY | PA-C | 1720684392 |
| ALICE ANN BERG | — | 1336805696 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.