Individual
MARK VAUGHN LARKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2580 HAYMAKER RD STE 106, MONROEVILLE, PA 15146-3500
(412) 858-7766
(412) 858-7769
Mailing address
2580 HAYMAKER RD STE 106, MONROEVILLE, PA 15146-3500
(412) 858-7766
(412) 858-7769
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01085101A
IN
207T00000X
Neurological Surgery Physician
52235
SC
207T00000X
Neurological Surgery Physician
Primary
MD045460E
PA
207T00000X
Neurological Surgery Physician
MD26048
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010678
MEDICARE PTAN
IN
05
—
103704013
—
PA
01
—
11097714
CAQH
—
05
—
300046661
—
IN
01
—
Q00107149
RAILROAD PTAN
IN
Enumeration date
05/12/2006
Last updated
03/06/2024
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