Provider Demographics
NPI:1073586269
Name:HARMON, JAMES VAIL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:VAIL
Last Name:HARMON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4430 CAMPUS AVE
Mailing Address - Street 2:#8
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-3975
Mailing Address - Country:US
Mailing Address - Phone:619-532-7575
Mailing Address - Fax:
Practice Address - Street 1:NAVAL MEDICAL CENTER 34,800 BOB WILSON DRIVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134
Practice Address - Country:US
Practice Address - Phone:619-532-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN40949208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery