Individual
MARK LIVINGSTON JUTRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1918 RANDOLPH RD STE 210, CHARLOTTE, NC 28207-1109
(704) 947-9000
(704) 992-1900
Mailing address
1918 RANDOLPH RD STE 210, CHARLOTTE, NC 28207-1109
(704) 947-9000
(704) 992-1900
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
2006-01581
NC
207VE0102X
Reproductive Endocrinology Physician
54438
FL
Other
Enumeration date
04/22/2006
Last updated
03/17/2018
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