Individual
DR. JOHN VOCKROTH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MEADOWCREST ST, SUITE 120, GRETNA, LA 70056-5255
(504) 620-5661
(504) 620-5675
Mailing address
120 MEADOWCREST ST, SUITE 120, GRETNA, LA 70056-5255
(504) 620-5661
(504) 620-5675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10349R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1986721
—
LA
01
—
80756
AETNA
LA
01
—
F7245
BLUE CROSS
LA
Enumeration date
08/22/2005
Last updated
03/13/2017
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