Provider Demographics
NPI:1659302842
Name:HARLER, JOHN ASHBY SR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ASHBY
Last Name:HARLER
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4301 PARHAM RD
Mailing Address - Street 2:P.O. BOX 27032
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23273-7032
Mailing Address - Country:US
Mailing Address - Phone:804-501-4181
Mailing Address - Fax:804-501-5956
Practice Address - Street 1:4301 PARHAM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23273-7032
Practice Address - Country:US
Practice Address - Phone:804-501-4181
Practice Address - Fax:804-501-5956
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101028881207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine