MEDICARE: DR. MARK FRANCIS OLIVIER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	018974	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356303002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK FRANCIS OLIVIER MD

Provider Business Mailing Address
First Line	:	PO BOX 747
Second Line	:
City	:	CECILIA
State	:	LA
Zip	:	70521-0747
Country	:	US
Telephone Number	:	337-237-1915
Fax Number	:

Provider Business Practice Location Address
First Line	:	2022 BUSHVILLE HWY
Second Line	:
City	:	ARNAUDVILLE
State	:	LA
Zip	:	70512-4104
Country	:	US
Telephone Number	:	337-237-1915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	07/08/2007

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