Provider Demographics
NPI:1902879760
Name:HAUG, DARIN LEE (DO)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:LEE
Last Name:HAUG
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2305 SOUTH 65 HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MO
Mailing Address - Zip Code:65340-3702
Mailing Address - Country:US
Mailing Address - Phone:660-866-7431
Mailing Address - Fax:660-831-3314
Practice Address - Street 1:2305 SOUTH 65 HIGHWAY
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MO
Practice Address - Zip Code:65340-3702
Practice Address - Country:US
Practice Address - Phone:660-866-7431
Practice Address - Fax:660-831-3361
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2002023836208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1902879760Medicaid
MO1902879760Medicaid