MARK ELLIS

LAFAYETTE, LA
NPI1215975891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0131X Podiatrist, Foot Surgery
(Licence: LA  1670511)
Enumeration Date2006-06-03
Last Update Date2008-09-05
Business Address
-- MARK ELLIS dpm
501 W SAINT MARY BLVD SUITE B
LAFAYETTE, LA 70506-4600
Phone number: 337-593-1278
Mailing Address
-- MARK ELLIS dpm
501 W SAINT MARY BLVD SUITE B
LAFAYETTE, LA 70506-4600
Phone number: 337-593-1278
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