person
Mark Douglas Wofford, MD
Diagnostic Radiology Physician in Baton Rouge, Louisiana
NPI 1467432286

Mark Douglas Wofford is a Diagnostic Radiology Physician based in Baton Rouge, LA and is specialized in Diagnostic Radiology. Mark Douglas Wofford practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Mark Douglas Wofford is 1467432286 and holds a License No. 12503R (Louisiana).

The current practice location address for Mark Douglas Wofford is 8230 Summa Ave Ste C, Baton Rouge, LA and can be reached out via phone at 225-757-0552 and via fax at 225-763-9997.

Location: 8230 Summa Ave Ste C, Baton Rouge, LA, 70809-3465
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Provider Profile Details
NPI Number
1467432286
Provider Name
Mark Douglas Wofford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8230 Summa Ave Ste C, Baton Rouge, LA, 70809-3465
Phone Number
225-757-0552
Fax Number
225-763-9997
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5H747 01 LA MEDICARE
1493481 05 LA
institution
Provider Business Practice Location Address Details
Address
8230 Summa Ave Ste C
City
State
Zip
70809-3465
Phone Number
225-757-0552
Fax Number
225-763-9997
person
Provider Business Mailing Address Details
Address
8230 Summa Ave Ste C
City
State
Zip
70809-3465
Phone Number
225-757-0552
Fax Number
225-763-9997
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
12503R (Louisiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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