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Individual

DR. MARK ANTHONY SCHNEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(318) 445-7355
(318) 487-8035
Mailing address
425 SCOTT ST, ALEXANDRIA, LA 71301-8131
(318) 445-7355
(318) 487-8035

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
024962
LA
207Q00000X
Family Medicine Physician
Primary
024962
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1423513
LA
Enumeration date
09/22/2005
Last updated
11/09/2016
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