Provider Demographics
NPI:1740555663
Name:RICHARD J. HARPER, MD, MEDICAL CORPORATION
Entity type:Organization
Organization Name:RICHARD J. HARPER, MD, MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-842-2500
Mailing Address - Street 1:7528 EIGLEBERRY ST
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-5714
Mailing Address - Country:US
Mailing Address - Phone:408-842-2500
Mailing Address - Fax:408-842-2600
Practice Address - Street 1:7528 EIGLEBERRY ST
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-5714
Practice Address - Country:US
Practice Address - Phone:408-842-2500
Practice Address - Fax:408-842-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-09
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00G370000207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty