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Dr. Mark T. Stephan, MD
Diagnostic Radiology Physician in Lafayette, Louisiana
NPI 1578550794

Mark T. Stephan is a Diagnostic Radiology Physician based in Lafayette, LA and is specialized in Diagnostic Radiology. Mark T. Stephan practices in Lafayette, LA and has the professional credentials of MD. The NPI Number for Mark T. Stephan is 1578550794 and holds a License No. 16703 (Louisiana).

The current practice location address for Mark T. Stephan is 2311 Kaliste Saloom Rd, Lafayette, LA and can be reached out via phone at 337-261-5151. You can also correspond with Mark T. Stephan through the mailing address at PO BOX 53134, LAFAYETTE, LA - 70505-3134 (mailing address contact number: 337-261-5151).

Location: 2311 Kaliste Saloom Rd, Lafayette, LA, 70505-3134
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Provider Profile Details
NPI Number
1578550794
Provider Name
Mark T. Stephan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2311 Kaliste Saloom Rd, Lafayette, LA, 70505-3134
Phone Number
337-261-5151
Fax Number
Provider Enumeration Date
10/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00139272 01 LA RAILROAD MEDICARE
1389552 05 LA
institution
Provider Business Practice Location Address Details
Address
2311 Kaliste Saloom Rd
City
State
Zip
70508-6807
Phone Number
337-261-5151
Fax Number
person
Provider Business Mailing Address Details
Address
2311 Kaliste Saloom Rd
City
State
Zip
70508-6807
Phone Number
337-261-5151
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
16703 (Louisiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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