John R. Harper Iii, Md A Professional Corporation | |
1834 Main St Ramona CA 92065-2522 | |
(760) 789-2629 | |
(760) 788-3235 |
Full Name | John R. Harper Iii, Md A Professional Corporation |
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Speciality | Clinic/Center |
Location | 1834 Main St, Ramona, California |
Authorized Official Name and Position | John R. Harper (PRESIDENT) |
Authorized Official Contact | 7607892629 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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John R. Harper Iii, Md A Professional Corporation 1834 Main St Ramona CA 92065-2522 Ph: (760) 789-2629 | John R. Harper Iii, Md A Professional Corporation 1834 Main St Ramona CA 92065-2522 Ph: (760) 789-2629 |
NPI Number | 1730192303 |
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Provider Enumeration Date | 08/14/2006 |
Last Update Date | 01/23/2015 |
Medicare PECOS PAC ID | 0446286371 |
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Medicare Enrollment ID | O20050712001190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730192303 | NPI | - | NPPES |
GR0067590 | Medicaid | CA | |
CJ8390 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | John R Harper |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1720098205 PECOS PAC ID: 6305819582 Enrollment ID: I20040816001297 |
Provider Name | Ken Stanley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356493720 PECOS PAC ID: 8022031467 Enrollment ID: I20140605001722 |
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