Individual
MARK JOSEPH ARDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
(318) 629-4808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA321486
LA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/15/2017
Last updated
12/01/2021
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