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1578550794
MARK T. STEPHAN
LAFAYETTE, LA
NPI
1578550794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: LA 16703)
Enumeration Date
2005-10-03
Last Update Date
2007-10-26
Business Address
Dr. MARK T. STEPHAN MD
2311 KALISTE SALOOM RD
LAFAYETTE, LA 70508-6807
Phone number: 337-261-5151
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Mailing Address
Dr. MARK T. STEPHAN MD
PO BOX 53134
LAFAYETTE, LA 70505-3134
Phone number: 337-261-5151
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