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Organization
ANTHONY J. PALAZZO, M.D.,APMC
Active
Organization
ANTHONY J. PALAZZO, M.D.,APMC
Active
Other names
The Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JUDE PALAZZO MD (OWNER)
(985) 732-1568
Entity
Organization
Contact information
Practice address
405 AVENUE F, BOGALUSA, LA 70427-3633
(985) 732-1568
(985) 732-4458
Mailing address
PO BOX 370, BOGALUSA, LA 70429-0370
(985) 732-1568
(985) 732-4458
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD.07154R
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
APO4688
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947717
—
LA
Enumeration date
03/23/2007
Last updated
04/27/2011
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