Individual
MICHAEL HOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2180
(301) 982-7909
Mailing address
PO BOX 4628, JACKSON, MS 39296-4628
(866) 264-3435
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
323770
LA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
323770
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
11/13/2020
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