Individual
DR. DONALD ALLEN HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 FORT ROOTS DR BLDG 66, NORTH LITTLE ROCK, AR 72114-1709
(912) 547-5511
Mailing address
451 FOREST POND LN, BENTON, AR 72019-7043
(912) 547-5511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
054388
GA
2085R0202X
Diagnostic Radiology Physician
Primary
N-6521
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853110901A
—
GA
01
—
989136
BCBS
GA
05
—
G54388
—
SC
01
—
P00095280
RR MEDICARE
GA
Enumeration date
07/14/2005
Last updated
03/17/2018
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