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Organization
ZACHARY ORTHOPAEDIC CARE CENTER
Active
Organization
ZACHARY ORTHOPAEDIC CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN E KOZAR MD (PRESIDENT)
(225) 658-9996
Entity
Organization
Contact information
Practice address
4845 MAIN ST, SUITE B-1, ZACHARY, LA 70791-3943
(225) 658-9996
(225) 658-9970
Mailing address
PO BOX 975, ZACHARY ORTOPAEDIC CARE CENTER, ZACHARY, LA 70791
(225) 658-9996
(225) 658-9970
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1069124
—
LA
01
—
2964486970
BCBS
LA
Enumeration date
03/08/2006
Last updated
05/13/2013
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