Provider Demographics
NPI:1417039173
Name:HARP, MARK S (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:S
Last Name:HARP
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 9388
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85068-9388
Mailing Address - Country:US
Mailing Address - Phone:623-583-2523
Mailing Address - Fax:623-583-2671
Practice Address - Street 1:11327 W BELL RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-9369
Practice Address - Country:US
Practice Address - Phone:623-583-2523
Practice Address - Fax:623-583-2671
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ35122084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry