Individual
MR. MARK A CARBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 473-9556
(318) 441-8310
Mailing address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 473-9556
(318) 441-8310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10575
LA
Other
Enumeration date
07/25/2006
Last updated
02/07/2014
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