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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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