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
Update your record
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