Mark Alexander Azel in Fort Polk - Physician Assistant
Mark Alexander Azel - NPI 1053477950
Mark Alexander Azel is a Physician Assistant in Fort Polk, Louisiana. Mark Alexander Azel practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Alexander Azel is 1053477950. The last update date is 2007-07-08.
Mark Alexander Azel's current location address is 16314 Moran Pl Apt A, Fort Polk, Louisiana. You can contact this provider via phone number 3375378979. The mailing address for Mark Alexander Azel is 16314 Moran Pl Apt A, Fort Polk, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Alexander Azel |
|---|---|
| Address | 16314 Moran Pl Apt A, Fort Polk, Louisiana |
| Phone Number | 3375378979 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053477950 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16314 Moran Pl Apt A |
|---|---|
| City | Fort Polk |
| State | Louisiana (LA) |
| Post Code | 714592576 |
| Phone Number | 3375378979 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1052506 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Mark Alexander Azel by the Centers for Medicare & Medicaid Services?
The Mark Alexander Azel has been issued the NPI (National Provider Identifier) 1053477950 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Mark Alexander Azel located?
The Mark Alexander Azel is located at 16314 Moran Pl Apt A, Fort Polk, LA 714592576.
What is Mark Alexander Azel's area of expertise and its corresponding taxonomy classification?
The Mark Alexander Azel's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did the Mark Alexander Azel receive its 1053477950?
The Mark Alexander Azel was issued its 1053477950 on 2006-12-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mark Alexander Azel most recently updated or revised?
The information pertaining to Mark Alexander Azel, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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