Organization
ROGELIO A. CASAMA, MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE C TYNES (ADMINISTRATOR)
(985) 735-8382
Entity
Organization
Contact information
Practice address
2807 S COLUMBIA ST, BOGALUSA, LA 70427-7915
(985) 735-8382
(985) 735-9075
Mailing address
PO BOX 220, BOGALUSA, LA 70429-0220
(985) 735-8382
(985) 735-9075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
011298
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106755
—
LA
Enumeration date
11/30/2011
Last updated
11/30/2011
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