Individual
DR. MARK MCDONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1103 KALISTE SALOOM RD STE 310, LAFAYETTE, LA 70508-5784
(337) 261-5453
(337) 235-2846
Mailing address
1103 KALISTE SALOOM RD STE 310, LAFAYETTE, LA 70508-5784
(337) 261-5453
(337) 235-2846
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD.15736R
LA
Other
Enumeration date
02/06/2007
Last updated
03/31/2020
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