Provider Demographics
NPI:1093165789
Name:MOTEJUNAS, MARK WHITNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:WHITNEY
Last Name:MOTEJUNAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1224
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70459-1224
Mailing Address - Country:US
Mailing Address - Phone:985-882-4500
Mailing Address - Fax:985-661-6218
Practice Address - Street 1:64301 HIGHWAY 434
Practice Address - Street 2:
Practice Address - City:LACOMBE
Practice Address - State:LA
Practice Address - Zip Code:70445-5411
Practice Address - Country:US
Practice Address - Phone:985-882-4500
Practice Address - Fax:985-882-4501
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2023-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA166567207LP2900X
LA326211207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine