Individual
MARK HILL MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5775 BAYOU PAUL RD, SAINT GABRIEL, LA 70776-5109
(225) 255-4922
Mailing address
5775 BAYOU PAUL RD, SAINT GABRIEL, LA 70776-5109
(225) 255-4922
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
204172
LA
207P00000X
Emergency Medicine Physician
RESIDENT
LA
Other
Enumeration date
11/27/2007
Last updated
01/18/2016
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