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

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XMD107924 (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.