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Individual
DR. MARK ALLEN MEADOWS
Active
Individual
DR. MARK ALLEN MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
022311
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022311
MEDICAL LICENSE
LA
05
—
1539520
—
LA
Enumeration date
08/05/2006
Last updated
07/09/2007
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