Individual
MR. MARK JOSEPH GAGNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-3353
(985) 867-4000
Mailing address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-3353
(985) 867-4000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AP08311
LA
Other
Enumeration date
06/11/2015
Last updated
10/16/2015
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