Organization
MICHAEL J. KOZEL, MD, A.P.M.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH KOZEL M.D. (PRESIDENT)
(985) 386-5943
Entity
Organization
Contact information
Practice address
165 W OAK ST, PONCHATOULA, LA 70454-3328
(985) 386-5943
(985) 386-8080
Mailing address
165 W OAK ST, PONCHATOULA, LA 70454-3328
(985) 386-5943
(985) 386-8080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019085
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1367648
—
LA
01
—
39440
BLUE CROSS
LA
01
—
920794
UNITED HEALTHCARE
LA
Enumeration date
07/09/2008
Last updated
07/09/2008
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