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Individual

JOHN L. HARCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8693
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.249000
OH
207RH0003X
Hematology & Oncology Physician
Primary
57.249000
OH
363A00000X
Physician Assistant
50.004445
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639548589
OH
Enumeration date
09/22/2015
Last updated
03/21/2023
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