Individual
VICTOR E MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1407 AVENUE F, BOGALUSA, LA 70427-4340
(985) 735-8022
(985) 735-8023
Mailing address
PO BOX 578, BOGALUSA, LA 70429-0578
(985) 735-8022
(985) 735-8023
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
08620R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119070
—
MS
05
—
1908703
—
LA
Enumeration date
06/01/2005
Last updated
07/12/2019
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