# ANTHONY J. PALAZZO, M.D.,APMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pediatric Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285751362
- **Authorized official:** ANTHONY JUDE PALAZZO MD (OWNER)
- **Authorized official phone:** (985) 732-1568

## Contact information

- **Practice address:** 405 AVENUE F, BOGALUSA, LA 70427-3633
- **Practice address phone:** (985) 732-1568
- **Practice address fax:** (985) 732-4458
- **Mailing address:** PO BOX 370, BOGALUSA, LA 70429-0370
- **Mailing address phone:** (985) 732-1568
- **Mailing address fax:** (985) 732-4458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | MD.07154R | LA | — |
| 363LP0200X | Pediatric Nurse Practitioner | APO4688 | LA | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 04/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1947717 | — | LA |