Individual
MR. MARK ALEXANDER AZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
46TH ENGINEER COMBAT BATTALION, BLDG. 2264, SUITE 105, FORT POLK, LA 71459
(337) 531-4233
Mailing address
16314 MORAN PL APT A, FORT POLK, LA 71459-2576
(337) 537-8979
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1052506
—
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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