Mark Edmund Ladner M.D.

NPI 1487753562 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1487753562
Gender Male
Enumeration Date 09/22/2006
Last Updated 04/27/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
1500 E WOODROW WILSON AVE
JACKSON MS, 39216-5116, US
Phone (601) 362-4471
Fax (601) 368-3904
Business Location
419 FOREST LN
RIDGELAND MS, 39157-4176, US
Phone (601) 362-4471
Fax (601) 368-3904
Toxanomy
Taxonomy Code 2084P0800X
License State Mississippi
License Number 13651
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According to our database, Dr. Mark Edmund Ladner M.D. NPI is 1487753562, taxonomy code is 2084P0800X and license number is 13651, license state is located at Mississippi. Mark Edmund Ladner M.D. physically located at 1500 E Woodrow Wilson Ave, Jackson MS, 39216-5116. NPI Number Mark Edmund Ladner M.D. has the Individual type.

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1487753562 NPI number is provided on an as is basis without warranty of any kind. 1487753562 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Edmund Ladner M.D. are for informational purposes only.