Provider Demographics
NPI:1447372974
Name:STUTMAN, HARRIS R (MD)
Entity type:Individual
Prefix:DR
First Name:HARRIS
Middle Name:R
Last Name:STUTMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:221 ELMIRA AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-4920
Mailing Address - Country:US
Mailing Address - Phone:714-374-7286
Mailing Address - Fax:562-490-3738
Practice Address - Street 1:2801 ATLANTIC AVE
Practice Address - Street 2:RESEARCH ADMINISTRATION
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1701
Practice Address - Country:US
Practice Address - Phone:562-480-6725
Practice Address - Fax:562-490-3738
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG592382080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases