Ethan Geoffrey Harris, M.D.
Psychiatry & Neurology, Psychiatry in Vacaville, CA. Individual provider (NPI-1).
NPI number1124011689
StatusActive
Last updated in NPPESOct 7, 2021
Details
- NPI
- 1124011689
- Entity type
- Individual (NPI-1)
- Name
- Ethan Geoffrey Harris
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2005
- Certification date
- Oct 7, 2021
- Last updated
- Oct 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | G18727 | CA | Yes |
Practice location
1119 E Monte Vista AveVacaville, CA 95688-3009
Phone 707-469-4610
Mailing address
Po Box 99913437 Antelope Trail
Oregon House, CA 95962-0999
Phone 530-692-0802
Other practice locations
720 Howe Ave Ste 110
Sacramento, CA 95825-4687
Sacramento, CA 95825-4687
Phone 916-923-0440
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