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Robert D Bostick JR., MD
Pediatric Adolescent Medicine Physician in Luling, Louisiana
NPI 1235130386

Robert D Bostick JR. is a Pediatric Adolescent Medicine Physician based in Luling, LA and is specialized in Adolescent Medicine. Robert D Bostick JR. practices in Luling, LA and has the professional credentials of MD. The NPI Number for Robert D Bostick JR. is 1235130386 and holds a License No. 010641 (Louisiana).

The current practice location address for Robert D Bostick JR. is 107 Maryland Drive, Luling, LA and can be reached out via phone at 504-349-6411 and via fax at 504-349-6415.

Location: 107 Maryland Drive, Luling, LA, 70070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235130386
Provider Name
Robert D Bostick JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
107 Maryland Drive, Luling, LA, 70070
Phone Number
504-349-6411
Fax Number
504-349-6415
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1118796 05 LA
institution
Provider Business Practice Location Address Details
Address
107 Maryland Drive
City
Luling
State
Louisiana
Zip
70070
Phone Number
504-349-6411
Fax Number
504-349-6415
person
Provider Business Mailing Address Details
Address
107 Maryland Drive
City
Luling
State
Louisiana
Zip
70070
Phone Number
504-349-6411
Fax Number
504-349-6415
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
010641 (Louisiana)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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