Individual
DR. GLENN ANTHONY HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 E PARK AVE STE 301, STATE COLLEGE, PA 16803-6706
(814) 231-6862
(814) 231-6701
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
(814) 231-7000
(814) 231-7098
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18732
WV
207Q00000X
Family Medicine Physician
18732
WV
207Q00000X
Family Medicine Physician
Primary
MD490659
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902866080
—
WV
05
—
2215294
—
OH
05
—
64433402
—
KY
01
—
P00080663
MEDICARE-RR PROVIDER NUMBER
WV
05
—
Q053993
—
TN
Enumeration date
03/24/2006
Last updated
06/30/2025
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