Individual
MARK BELKNAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 VETERANS AVE, DR. BELKNAP 112, BILOXI, MS 39531-2410
(903) 926-2071
Mailing address
400 VETERANS AVE, DR. BELKNAP 112, BILOXI, MS 39531-2410
(903) 926-2071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J3985
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041855001
—
TX
Enumeration date
11/28/2005
Last updated
03/14/2012
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