# BEAUREGARD FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841611092
- **Authorized official:** DR. JEFFREY DAVID DOBBINS MD (DOCTOR)
- **Authorized official phone:** (337) 463-3387

## Contact information

- **Practice address:** 325 W 8TH ST, DERIDDER, LA 70634-5505
- **Practice address phone:** (337) 463-3387
- **Practice address fax:** (949) 862-5301
- **Mailing address:** 325 W 8TH ST, DERIDDER, LA 70634-5505
- **Mailing address phone:** (337) 463-3387
- **Mailing address fax:** (949) 862-5301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2013
- **Last updated:** 12/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2342533 | — | LA |