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Individual

CAROLE BOUDREAUX

Active
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Individual

CAROLE BOUDREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
16509
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
16509
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000024061
AL
05
00118221
MS
01
11-10270
UNITED HEALTHCARE
AL
05
1523593
LA
05
255587500
FL
01
51024061
BCBS
AL
Enumeration date
05/10/2006
Last updated
12/03/2015
About Stedi
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