Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ELLIS, DPM
ActiveMARK ELLIS, DPM is a Foot Surgery Podiatrist healthcare provider located in LAFAYETTE, Louisiana. NPI 1215975891 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · LAFAYETTE, LA
Registration Details
- NPI Number
- 1215975891
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2006 (20.173942413875 yrs)
- Last Updated
- Sep 5, 2008
- License
-
1670511 (LA)
Practice Information
- Address
-
501 W SAINT MARY BLVDSUITE BLAFAYETTE, LA, 705064600Browse LA providers · Browse ZIP 70506
- Phone
- 3375931278
- Fax
- 3375931280
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
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.