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Individual
DR. MARK HARRISON SHOWEN
Active
Individual
DR. MARK HARRISON SHOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G052160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94-3365742
TAX ID
—
Enumeration date
07/26/2006
Last updated
07/08/2007
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