Provider Demographics
NPI:1356303002
Name:OLIVIER, MARK FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:FRANCIS
Last Name:OLIVIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 747
Mailing Address - Street 2:
Mailing Address - City:CECILIA
Mailing Address - State:LA
Mailing Address - Zip Code:70521-0747
Mailing Address - Country:US
Mailing Address - Phone:337-237-1915
Mailing Address - Fax:
Practice Address - Street 1:2022 BUSHVILLE HWY
Practice Address - Street 2:
Practice Address - City:ARNAUDVILLE
Practice Address - State:LA
Practice Address - Zip Code:70512-4104
Practice Address - Country:US
Practice Address - Phone:337-237-1915
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018974207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1367613Medicaid
LAB64577Medicare UPIN
LA53377Medicare ID - Type Unspecified