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Individual

CLAUDE YOUNGBLOOD BUNDRICK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
471 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 795-4770
(318) 795-4775
Mailing address
471 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 795-4770
(318) 795-4775

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
205789
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2102915
LA
Enumeration date
05/05/2010
Last updated
02/03/2026
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