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Individual
MARK W HARRIS
Active
Individual
MARK W HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD0003796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176574
LIWA
WA
01
—
0176575
LIWA
WA
01
—
0205764
LIWA
WA
01
—
0205765
LIWA
WA
01
—
1126HA
BSWA
WA
01
—
1188HA
BSWA
WA
01
—
1594HA
BSWA
WA
01
—
2169HA
BSWA
WA
01
—
5123HA
BSWA
WA
05
—
8252967
—
WA
05
—
8441529
—
WA
Enumeration date
06/06/2006
Last updated
04/02/2008
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