MEDICARE: PATRICK HARPER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	2014019476	MO
2	208VP0000X	Pain Medicine Physician	59705	MN
3	207L00000X	Anesthesiology Physician	59705	MN
4	208VP0000X	Pain Medicine Physician	0442240	KS

General Provider Information

NPI Number	:	1245658715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK HARPER M.D.

Provider Business Mailing Address
First Line	:	325 MAINE STREET
Second Line	:	MSO LIBRARY
City	:	LAWRENCE
State	:	KS
Zip	:	66044
Country	:	US
Telephone Number	:	785-505-2988
Fax Number	:	785-505-5228

Provider Business Practice Location Address
First Line	:	1130 W 4TH ST STE 3202
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66044-1346
Country	:	US
Telephone Number	:	785-505-3388
Fax Number	:	785-505-5319

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	10/16/2023

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Directions to “ PATRICK HARPER M.D.” Practice Location

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