Individual
DR. JOHN MARK CHURCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 PRYTANIA ST, SUITE 230, NEW ORLEANS, LA 70115-3500
(504) 895-4561
(504) 895-8529
Mailing address
3525 PRYTANIA ST, SUITE 230, NEW ORLEANS, LA 70115-3500
(504) 895-4561
(504) 895-8529
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
L010847
LA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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