Individual
JOHN T HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1701 E THOMAS RD, SUITE 201, PHOENIX, AZ 85016-7646
(602) 251-3113
(602) 251-3114
Mailing address
1701 E THOMAS RD, SUITE 201, PHOENIX, AZ 85016-7646
(602) 251-3113
(602) 251-3114
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0448
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358433
—
AZ
01
—
480022566
MEDICARE RAILROAD
AZ
01
—
AZ0192020
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/21/2005
Last updated
01/14/2014
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