Individual
MR. MARK D. CALLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2104 GAUSE BLVD W, STE. A, SLIDELL, LA 70460-4130
(985) 643-4575
(985) 643-4513
Mailing address
2104 GAUSE BLVD W, STE. A, SLIDELL, LA 70460-4130
(985) 643-4575
(985) 643-4513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
P.A.A10540
LA
Other
Enumeration date
06/21/2007
Last updated
10/15/2015
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