Organization
BOLGER FAMILY MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD BOLGER M.D., PHD (PRESIDENT)
(318) 377-7118
Entity
Organization
Contact information
Practice address
3 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
(318) 377-7118
(318) 377-7392
Mailing address
3 MEDICAL PLAZA PL, MINDEN, LA 71055-3330
(318) 377-7118
(318) 377-7392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14517R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052825
—
LA
Enumeration date
10/24/2006
Last updated
12/09/2009
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