MEDICARE: HOWARD CLAYTON HARPER JR. MD

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	208000000X	Pediatrics Physician	5416	AL

General Provider Information

NPI Number	:	1902807134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD CLAYTON HARPER JR. MD

Provider Business Mailing Address
First Line	:	3719 DAUPHIN ST
Second Line	:	SUITE 102
City	:	MOBILE
State	:	AL
Zip	:	36608-1753
Country	:	US
Telephone Number	:	251-344-1502
Fax Number	:	251-342-1116

Provider Business Practice Location Address
First Line	:	3719 DAUPHIN ST
Second Line	:	SUITE 102
City	:	MOBILE
State	:	AL
Zip	:	36608-1753
Country	:	US
Telephone Number	:	251-344-1502
Fax Number	:	251-342-1116

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/08/2007

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