Individual
DR. MARK STEPHEN DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 SAINT ANN DR, SUITE 2, MANDEVILLE, LA 70471-3396
(985) 727-7275
(985) 727-7915
Mailing address
235 SAINT ANN DR, SUITE 2, MANDEVILLE, LA 70471-3396
(985) 727-7275
(985) 727-7915
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
019030
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
019030
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00249171
RR MEDICARE
LA
Enumeration date
01/26/2006
Last updated
09/25/2008
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