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Individual

MARK A SANDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 VETERANS MEMORIAL BLVD, SUITE 425, METAIRIE, LA 70005-3027
(504) 838-8283
Mailing address
4721 CARTHAGE ST, METAIRIE, LA 70002-1410
(504) 838-8283

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
07835R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07835R
MEDICAL LICENSE
LA
Enumeration date
02/08/2007
Last updated
03/07/2023
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