Individual
BRIAN M. BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 LAPALCO BLVD STE 1-B, GRETNA, LA 70056-7113
(504) 433-5070
(504) 433-5077
Mailing address
200 LAPALCO BLVD STE 1-B, GRETNA, LA 70056-7113
(504) 433-5070
(504) 433-5077
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
10467R
LA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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