Individual
MR. RONALD RAY HARPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
14535A HAZEL DELL PKWY, CARMEL, IN 46033-9401
(317) 705-4392
(317) 705-4391
Mailing address
PO BOX 775985, CHICAGO, IL 60677-5985
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000988A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000564609
ANTHEM
IN
01
—
000000625094
ANTHEM
IN
05
—
300013439
—
IN
01
—
P00814090
RAILROAD MEDICARE
IN
Enumeration date
04/29/2008
Last updated
09/23/2020
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