Provider Demographics
NPI:1023128741
Name:HARF, ROBERT ALAN (MD FACS)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ALAN
Last Name:HARF
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1722
Mailing Address - Street 2:181 ANDRIEUX ST STE 111
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6920
Mailing Address - Country:US
Mailing Address - Phone:707-996-8017
Mailing Address - Fax:707-996-8061
Practice Address - Street 1:181 ANDRIEUX ST STE 111
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6920
Practice Address - Country:US
Practice Address - Phone:707-996-8017
Practice Address - Fax:707-996-8061
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA406260207XS0117X
CAA40626207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00003535OtherRAIL ROAD MEDICARE
CA00A406260Medicaid
CA00A406260Medicaid
00A406260Medicare ID - Type Unspecified