| Doctor Name: | PAUL I HARRIS |
| NPI Number: | 1184774689 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | 33403 |
| Business Practice Address: | Naval Hospital Attn Professional Affairs Bldg 1145 Sturgis Street Twentynine Palms, CA - 922788250 |
| Business Phone Number: | 7608302190 |
| Business Fax Number: | |
| Mailing Address: | Naval Hospital Attn Professional Affairs, Bldg 1145 Sturgis Street TWENTYNINE PALMS |
| State: | CA |
| Postal Code: | 922788250 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 33403 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |