Individual
DR. JOSEPH ROBERT BOZZELLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 W. ST. MARY BLVD, STE 110, LAFAYETTE, LA 70506
(337) 233-8887
(337) 233-8887
Mailing address
PO BOX 53069, LAFAYETTE, LA 70505
(337) 837-3615
(337) 839-8097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
024894
LA
174400000X
Specialist
Primary
MD.024894
LA
208100000X
Physical Medicine & Rehabilitation Physician
MD.024894
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1420255
—
LA
Enumeration date
03/23/2006
Last updated
07/07/2022
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