Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JOSEPH ARDOIN
ActivePhysician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1114454659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2017 (8.9350883991924 yrs)
- Last Updated
- Dec 1, 2021
- License
-
PA321486 (LA)
Practice Information
- Address
-
1541 KINGS HWYSHREVEPORT, LA, 711034228Browse LA providers · Browse ZIP 71103
- Phone
- 3186260000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DONNA TERRY | PA-C | 1104823947 |
| KIMBERLY E MEYER | PA-C | 1760475651 |
| KENNETH BETZING | PA-C | 1053304048 |
| MARY ALEXIS K GREEN | PA-C | 1366436487 |
| MRS. LORI A STACKOW | PAC | 1467449835 |
| MR. MARVIN KEITH RAINWATER | PA | 1457310773 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.