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Organization

DAVID T BOOHER MD AMPC

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Organization

DAVID T BOOHER MD AMPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID THOMAS BOOHER MD (DOCTOR)
(337) 988-2004
Entity
Organization

Contact information

Practice address
4212 W CONGRESS ST, SUITE 3600, LAFAYETTE, LA 70506-6765
(337) 988-2004
(337) 981-5012
Mailing address
4212 W CONGRESS ST, SUITE 3600, LAFAYETTE, LA 70506-6765
(337) 988-2004
(337) 981-5012

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12392R
LA

Other

Enumeration date
05/08/2007
Last updated
06/30/2010
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