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NPI Code Detail

MEDICARE: MARK STEPHEN POLLET MD

MEDICARE: MARK STEPHEN POLLET 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
1207RC0001XClinical Cardiac Electrophysiology Physician322475LA

General Provider Information

NPI Number : 1972865574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK STEPHEN POLLET MD
Provider Business Mailing Address
First Line : 5231 BRITTANY DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-9100
Country : US
Telephone Number : 225-769-0933
Fax Number : 225-769-6255
Provider Business Practice Location Address
First Line : 8888 SUMMA AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3772
Country : US
Telephone Number : 225-769-0933
Fax Number : 225-214-0088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2012
Last Update Date : 03/31/2026

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