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NPI Code Detail

MEDICARE: DR. MARK GUICE

MEDICARE: DR. MARK GUICE
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
1111N00000XChiropractor945LA

General Provider Information

NPI Number : 1811956592
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK GUICE
Provider Business Mailing Address
First Line : 7645 PINES RD
Second Line :
City : SHREVEPORT
State : LA
Zip : 71129-3905
Country : US
Telephone Number : 318-683-0300
Fax Number : 318-687-3937
Provider Business Practice Location Address
First Line : 7645 PINES RD
Second Line :
City : SHREVEPORT
State : LA
Zip : 71129-3905
Country : US
Telephone Number : 318-683-0300
Fax Number : 318-687-3937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 01/06/2026

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Directions to “ DR. MARK GUICE ” Practice Location

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