| Bolger Family Medicine, Inc | |
|
3 Medical Plaza Pl Minden LA 71055-3330 | |
| (318) 377-7118 | |
| (318) 377-7392 |
| Full Name | Bolger Family Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Medical Plaza Pl, Minden, Louisiana |
| Authorized Official Name and Position | Joseph Edward Bolger (PRESIDENT) |
| Authorized Official Contact | 3183777118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bolger Family Medicine, Inc 3 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-7118 | Bolger Family Medicine, Inc 3 Medical Plaza Pl Minden LA 71055-3330 Ph: (318) 377-7118 |
| NPI Number | 1861575458 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 12/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861575458 | NPI | - | NPPES |
| 1052825 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14517R (Louisiana) | Primary |
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