Individual
DR. MARK ALLEN MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8777 BLUEBONNET BLVD, SUITE B, BATON ROUGE, LA 70810-2818
(225) 767-5525
(225) 767-5339
Mailing address
4680 DRUSILLA DR, BATON ROUGE, LA 70809-6947
(225) 926-4956
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
022311
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022311
MEDICAL LICENSE
LA
05
—
1539520
—
LA
Enumeration date
08/05/2006
Last updated
07/09/2007
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