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Organization

JOHN B. CAZALE, M.D., A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN B CAZALE IV MD (PRESIDENT)
(504) 885-8225
Entity
Organization

Contact information

Practice address
4720 S I 10 SERVICE RD W, SUITE 301, METAIRIE, LA 70001-7404
(504) 885-8225
(504) 885-7642
Mailing address
4720 S I 10 SERVICE RD W, SUITE 301, METAIRIE, LA 70001-7404
(504) 885-8225
(504) 885-7642

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
012260
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1317985
LA
01
173372600
DOL
01
DH0316
MEDICARE RR
LA
01
H9388
BLUE CROSS BLUE SHIELD
LA
Enumeration date
01/16/2008
Last updated
03/26/2014
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