Individual
MARK EDWARD CLAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PMC
Contact information
Practice address
805 STATE ST, JENNINGS, LA 70546-4739
(337) 824-8099
(337) 824-8229
Mailing address
805 STATE ST, JENNINGS, LA 70546-4739
(337) 824-8099
(337) 824-8229
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
020456
LA
207Q00000X
Family Medicine Physician
Primary
020456
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020456
STATE LICENSE
LA
05
—
1900249
—
LA
Enumeration date
10/10/2006
Last updated
02/15/2021
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