Individual
DR. JOHN R HARBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 281-8100
Mailing address
PO BOX 5468, MARTINSVILLE, VA 24115-5468
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101237958
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010159784
—
VA
05
—
010159806
—
VA
05
—
010192803
—
VA
Enumeration date
07/01/2005
Last updated
04/30/2015
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