| Doctor Name: | MR. SCOTT E HARRIS |
| NPI Number: | 1164707147 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 686603 |
| Business Practice Address: | 15145 Lakeshore Dr Clearlake, CA - 954228106 |
| Business Phone Number: | 7079557200 |
| Business Fax Number: | |
| Mailing Address: | 397 Pollard Way, WINDSOR |
| State: | CA |
| Postal Code: | 954927974 |
| Phone Number: | 7078387718 |
| Fax Number: | 7078387718 |
| NPI Enumeration Date: | 10/21/2011 |
| NPI Last Update Date: | 10/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 686603 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |