Individual
WILLIE EARL HARPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 E MATTHEWS AVE, JONESBORO, AR 72401-4308
(870) 935-1242
Mailing address
PO BOX 1331, JONESBORO, AR 72403-1331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2014-00536
NC
208600000X
Surgery Physician
Primary
E9313
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548413008
—
NC
01
—
1860M
BCBS NC
NC
Enumeration date
10/28/2008
Last updated
08/04/2015
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