Individual
DR. JOHN ARTHUR HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9001 DIGGES RD, SUITE 204, MANASSAS, VA 20110-4421
(703) 257-9234
(703) 730-7236
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 257-9234
(703) 730-7236
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0102202370
VA
208600000X
Surgery Physician
OS014225
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11955353
ANTHEM
VA
Enumeration date
03/14/2008
Last updated
10/28/2020
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