IndividualActive
Dianne Harris, M.D.
NPI 1457379455 · Military Health Care Provider · Travis Afb, CA
Provider details
- NPI number
- 1457379455
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- G064099 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
101 Bodin Cir
Sgcxe
Travis Afb, CA 94535-1809
Phone: (707) 423-7165
Approximate (ZIP-level) locationGet directions
Mailing address
5164 Bass Ct
Fairfield, CA 94534-6621
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2022-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.