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