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Organization
AUDUBON ORTHOPEDICS & SPORTS MEDICINE A PROF MEDICAL CORPORATION
Active
Organization
AUDUBON ORTHOPEDICS & SPORTS MEDICINE A PROF MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN ROGER BOURGEOIS III M.D. (OWNER/PHYSICIAN)
(504) 455-0093
Entity
Organization
Contact information
Practice address
3939 HOUMA BLVD, SUITE 18, METAIRIE, LA 70006-2931
(504) 455-0093
(504) 454-3964
Mailing address
3939 HOUMA BLVD, SUITE 18, METAIRIE, LA 70006-2931
(504) 455-0093
(504) 454-3964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
09/11/2008
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