MARK BLACKWELDER

RUSTON, LA
NPI1245200880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  18456)
Enumeration Date2006-01-25
Last Update Date2009-10-15
Business Address
Mr. MARK BLACKWELDER M.D.
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
Mailing Address
Mr. MARK BLACKWELDER M.D.
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
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