Dr MARK F ELLIS is a male medical professional, specializing in Podiatry. He graduated in 1990 from Barry University School Podiatric Medicine.
501 W ST MARY BLVD
SUITE 520
LAFAYETTE
LA
705064665
Tel:
| Npi | 1215975891 |
| Pac Id | 4082728803 |
| Professional Enrollment Id | I20110412000051 |
| Last Name | ELLIS |
| First Name | MARK |
| Middle Name | F |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 501 W ST MARY BLVD |
| Line 2 Street Address | SUITE 520 |
| Marker Of Address Line 2 Suppression | |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 705064665 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 190034 |
| Hospital Affiliation Lbn 1 | ABBEVILLE GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 190102 |
| Hospital Affiliation Lbn 2 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| Hospital Affiliation Ccn 3 | 190002 |
| Hospital Affiliation Lbn 3 | LAFAYETTE GENERAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 190064 |
| Hospital Affiliation Lbn 4 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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