Organization
MARK E. CLAWSON M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD CLAWSON M.D. (PRESIDENT)
(337) 824-8099
Entity
Organization
Contact information
Practice address
805 STATE ST, JENNINGS, LA 70546-4739
(337) 824-8099
(337) 824-8229
Mailing address
805 STATE ST, JENNINGS, LA 70546-4739
(337) 824-8099
(337) 824-8229
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
020456
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900249
—
LA
Enumeration date
03/26/2008
Last updated
03/26/2008
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