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Individual

DR. JOHN M. HARCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
303 MAPLE ST, MOUNT SHASTA, CA 96067-2229
(530) 926-0892
(530) 926-0895
Mailing address
303 MAPLE ST, MOUNT SHASTA, CA 96067-2229
(530) 926-0892
(530) 926-0895

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G51314
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G513140
CA
Enumeration date
07/13/2005
Last updated
07/02/2009
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