MR. Mark Alexander Azel, PA-C

NPI #1053477950 in Fort Polk, Louisiana

Provider Information

NPI Number: 1053477950
Entity Type: Individual
Name: MR. Mark Alexander Azel, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 46TH ENGINEER COMBAT BATTALION
Address 2: BLDG. 2264, SUITE 105
City: Fort Polk
State: Louisiana
ZIP Code: 71459
Phone: (337) 531-4233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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