Provider Demographics
NPI:1962698472
Name:HARPER, JAMES AUGUSTUS (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:AUGUSTUS
Last Name:HARPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-4534
Mailing Address - Country:US
Mailing Address - Phone:307-637-8095
Mailing Address - Fax:
Practice Address - Street 1:3007 THOMAS RD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-4534
Practice Address - Country:US
Practice Address - Phone:307-637-8095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY5932A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A33236Medicare UPIN