MR. MARK BLACKWELDER, M.D.
Internal Medicine
Active
Individual
NPI: 1245200880
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 18456 (LA) |
Frequently Asked Questions
NPI 1245200880 is the National Provider Identifier for MR. MARK BLACKWELDER, M.D., a Internal Medicine provider located in Ruston, LA. This NPI was enumerated on January 25, 2006.
MR. MARK BLACKWELDER, M.D. practices at 1200 S FARMERVILLE ST, Ruston, LA 71270.
Quick Facts
- NPI
- 1245200880
- Type
- Individual
- Enumerated
- Jan 25, 2006
- Last Updated
- Oct 15, 2009
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