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Individual

JOHN R HARLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 N NAVAJO, PAGE CLINIC, PAGE, AZ 86040
(928) 645-0740
(928) 645-0167
Mailing address
PO BOX 13432, CHANDLER, AZ 85248-0041
(480) 883-0492
(480) 588-5946

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
6812
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275041
AZ
Enumeration date
06/07/2006
Last updated
07/08/2007
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