Mid-state Orthopaedic & Sports Medicine Center Llc

NPI 1104890052 - Podiatrist - 213E00000X

NPI Details
NPI 1104890052
Enumeration Date 02/16/2006
Last Updated 03/23/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK A MARK
Position PRESIDENT
Phone (318) 473-9556
Fax (318) 441-8310
Practice Location
3444 MASONIC DRIVE
ALEXANDRIA LA, 71301-3615, US
Phone (318) 473-9556
Fax (318) 441-8310
Business Location
3444 MASONIC DRIVE
ALEXANDRIA LA, 71301-3615, US
Phone (318) 473-9556
Fax (318) 441-8310
Toxanomy
Taxonomy Code 213E00000X
License State
License Number
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According to our database, Mid-state Orthopaedic & Sports Medicine Center Llc NPI is 1104890052, taxonomy code is 213E00000X Mid-state Orthopaedic & Sports Medicine Center Llc physically located at 3444 Masonic Drive, Alexandria LA, 71301-3615. NPI Number 1033115704 has the healthcare provider type.

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1104890052 NPI number is provided on an as is basis without warranty of any kind. 1104890052 is maintained by the National Plan & Provider Enumeration System. The contents of Mid-state Orthopaedic & Sports Medicine Center Llc are for informational purposes only.