institution
Bogalusa Family Practice
General Practice Physician in Bogalusa, Louisiana
NPI 1104084839

Bogalusa Family Practice is a General Practice Physician based in Bogalusa, LA. Bogalusa Family Practice practices in Bogalusa, LA. The NPI Number for Bogalusa Family Practice is 1104084839 and holds a License No. MD107924 (Louisiana).

The current practice location address for Bogalusa Family Practice is 433 Plaza St, Bogalusa, LA and can be reached out via phone at 985-735-1198. You can also correspond with Bogalusa Family Practice through the mailing address at PO BOX 700, BOGALUSA, LA - 70429-0700 (mailing address contact number: ).

Location: 433 Plaza St, Bogalusa, LA, 70429-0700
institution
Provider Profile Details
NPI Number
1104084839
Provider Name
Bogalusa Family Practice
Credential
Provider Entity Type
Organization
Address
433 Plaza St, Bogalusa, LA, 70429-0700
Phone Number
985-735-1198
Fax Number
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1365858 05 LA
institution
Provider Business Practice Location Address Details
Address
433 Plaza St
City
State
Zip
70427-3729
Phone Number
985-735-1198
Fax Number
person
Provider Business Mailing Address Details
Address
433 Plaza St
City
State
Zip
70427-3729
Phone Number
985-735-1198
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD107924 (Louisiana)
Definition
Definition to come...
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