Healthcare Provider Details
I. General information
NPI: 1396706735
Provider Name (Legal Business Name): MARK C. NAPOLI MD APMC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2006
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 N 18TH ST STE 100
MONROE LA
71201-5781
US
IV. Provider business mailing address
1100 N 18TH ST STE 100
MONROE LA
71201-5781
US
V. Phone/Fax
- Phone: 318-361-9900
- Fax: 318-361-0428
- Phone: 318-361-9900
- Fax: 318-361-0428
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 15498R |
| License Number State | LA |
VIII. Authorized Official
Name: DR.
MARK
COOPER
NAPOLI
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 318-361-9900