Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | C29170 | CA |
NPI | 1043334071 |
---|---|
Provider Name | Dr. Roger Dean Haring |
First Address | Santa Clarita, CA 91390-1102 |
Second Address | Santa Clarita, CA 91321-1719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 29/12/2015 |