Individual
MARK E. HAROUSSEAU
Active
Individual
MARK E. HAROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
10957077-1205
UT
208000000X
Pediatrics Physician
10957077-1205
UT
Other
Enumeration date
03/24/2017
Last updated
11/03/2021
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