Organization · Type 2 NPI
Bogalusa Family Practice
General Practice Physician · Bogalusa, LA
NPI number
1104084839
Active
Practice location
433 Plaza St
Bogalusa, LA 70427-3729
Mailing address
PO Box 700
Bogalusa, LA 70429-0700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD107924 (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1104084839
Bogalusa Family Practice's National Provider Identifier is 1104084839, issued on May 29, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Bogalusa, LA. The record was last updated on May 29, 2008.