specializing in general practice in Bogalusa, Louisiana
NPI: 1104084839
Provider Type
2
Practice Locations
Mailing Location
PO BOX 700
BOGALUSA, LA 70429
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:5/29/2008
Last Updated:5/29/2008
Credentials
Primary Credential: