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Homer Mccoy Harrison Jr., PA
Medical Physician Assistant in Stockton, California
NPI 1760523161

Homer Mccoy Harrison Jr. is a Medical Physician Assistant based in Antioch, CA and is specialized in Medical. Homer Mccoy Harrison Jr. practices in Stockton, CA and has the professional credentials of PA. The NPI Number for Homer Mccoy Harrison Jr. is 1760523161 and holds a License No. PA10433 (California).

The current practice location address for Homer Mccoy Harrison Jr. is 3663 Arch Rd, Stockton, CA and can be reached out via phone at 209-943-2202.

Location: 3663 Arch Rd, Stockton, CA, 94509-5866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760523161
Provider Name
Homer Mccoy Harrison Jr.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3663 Arch Rd, Stockton, CA, 94509-5866
Phone Number
209-943-2202
Fax Number
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3663 Arch Rd
City
Stockton
State
California
Zip
95215-8315
Phone Number
209-943-2202
Fax Number
person
Provider Business Mailing Address Details
Address
3663 Arch Rd
City
Stockton
State
California
Zip
95215-8315
Phone Number
209-943-2202
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA10433 (California)
Definition
Definition to come...
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