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Individual

DR. MARK HOWARD TERRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1221 MERCANTILE LANE, LARGO, MD 20774-5374
(301) 618-5500
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101052267
VA
207Y00000X
Otolaryngology Physician
Primary
D0047366
MD
207Y00000X
Otolaryngology Physician
MD21307
DC

Other

Enumeration date
12/12/2006
Last updated
01/19/2022
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