DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK LIVINGSTON JUTRAS, MD

Active Sole Proprietor

MARK LIVINGSTON JUTRAS, MD is a Reproductive Endocrinology healthcare provider located in CHARLOTTE, North Carolina. NPI 1093771792 is currently active in the NPPES registry. Verify at CMS.

Reproductive Endocrinology · CHARLOTTE, NC

Registration Details

NPI Number
1093771792
Provider Type
Individual
Gender
Male
NPI Issued
Apr 22, 2006 (20.282472292453 yrs)
Last Updated
Mar 17, 2018
Licenses
54438 (FL)
2006-01581 (NC)
Sole Proprietor
Yes

Practice Information

Address
1918 RANDOLPH RD STE 210
CHARLOTTE, NC, 282071109
Browse NC providers · Browse ZIP 28207
Phone
7049479000
Fax
7049921900
Primary Specialty
Reproductive Endocrinology
207VE0102X
Additional Specialty
Reproductive Endocrinology

Other Reproductive Endocrinology Providers in CHARLOTTE, NC

Name Credential NPI
DR. GORDON BRUCE KUTTNER MD 1255337069
CHARLES CODDINGTON III MD 1659359040
DR. JASON D PARKER D.O. 1992764278
DR. JOSEPH GIBSON WHELAN III M.D. 1841248473
BRADLEY S. HURST MD 1144245333
MICHELLE LYNN MATTHEWS MD 1619992740
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.