Mark C Mouton MD LLC

NPI #1760626170 in Baker, Louisiana

Provider Information

NPI Number: 1760626170
Entity Type: Organization
Organization Name: Mark C Mouton MD LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 29, 2009
Last Updated: Jul 1, 2014

Practice Location

Address: 12880 PLANK RD
City: Baker
State: Louisiana
ZIP Code: 70714-4909
Phone: (225) 774-7111

Authorized Official

Name: DR. MARK CHRISTIAN MOUTON, MD
Title: MEMBER
Phone: (504) 621-3298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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