MARK KNACKSTEDT

SHREVEPORT, LA
NPI1285203521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: LA  352615)
Enumeration Date2021-06-22
Last Update Date2026-07-10
Business Address
MARK KNACKSTEDT
2530 BERT KOUNS INDUSTRIAL LOOP STE 112
SHREVEPORT, LA 71118-3153
Phone number: 318-212-3960
Mailing Address
MARK KNACKSTEDT
2530 BERT KOUNS INDUSTRIAL LOOP STE 112
SHREVEPORT, LA 71118-3153
Phone number: 318-212-3960
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