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Individual

DR. BERTRAND JOSEPH FOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 GERSTNER MEMORIAL HIGHWAY 14, LAKE CHARLES, LA 70601
(337) 491-9476
Mailing address
1001 GERSTNER MEMORIAL HIGHWAY 14, LAKE CHARLES, LA 70601
(337) 491-9476

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
018210
LA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
018210
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1913502
LA
Enumeration date
12/01/2005
Last updated
05/27/2024
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