Basic Information
Provider Information
NPI: 1043258056
EntityType: 2
ReplacementNPI:  
OrganizationName: JOAN HARPER, M.D., P. C.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1847
Address2:  
City: GILBERT
State: AZ
PostalCode: 852991847
CountryCode: US
TelephoneNumber: 4805072961
FaxNumber: 4805072971
Practice Location
Address1: 475 S DOBSON RD
Address2:  
City: CHANDLER
State: AZ
PostalCode: 852245605
CountryCode: US
TelephoneNumber: 4807283000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/02/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HARPER
AuthorizedOfficialFirstName: JOAN
AuthorizedOfficialMiddleName: K
AuthorizedOfficialTitleorPosition: SOLE OWNER
AuthorizedOfficialTelephone: 4805072961
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X27626AZY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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