Individual
ATTILA BALOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 HOSPITAL DR, SUITE 420, BOSSIER CITY, LA 71111-2385
(318) 752-7820
(318) 752-7825
Mailing address
PO BOX 37822, SHREVEPORT, LA 71133-7822
(318) 453-2050
(318) 752-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11274R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666831
—
LA
Enumeration date
05/08/2006
Last updated
12/08/2022
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