Organization
M. CRAIG BOZEMAN, M.D., A.P.M.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN COOPER JOHNSON (OFFICE MANAGER)
(318) 798-3823
Entity
Organization
Contact information
Practice address
8001 YOUREE DR, STE 820, SHREVEPORT, LA 71115-2302
(318) 798-3823
(318) 798-3887
Mailing address
8001 YOUREE DR, STE 820, SHREVEPORT, LA 71115-2302
(318) 798-3823
(318) 798-3887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019407
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978981
—
LA
Enumeration date
10/17/2007
Last updated
10/17/2007
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