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Organization

ZACHARY ORTHOPAEDIC CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN E KOZAR MD (PRESIDENT)
(225) 658-9996
Entity
Organization

Contact information

Practice address
4845 MAIN ST, SUITE B-1, ZACHARY, LA 70791-3943
(225) 658-9996
(225) 658-9970
Mailing address
PO BOX 975, ZACHARY ORTOPAEDIC CARE CENTER, ZACHARY, LA 70791
(225) 658-9996
(225) 658-9970

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1069124
LA
01
2964486970
BCBS
LA
Enumeration date
03/08/2006
Last updated
05/13/2013
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