Individual
DR. KRISTAL BOURGEOIS GUIDROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
327 BAYOU GARDENS BLVD, HOUMA, LA 70364-1434
(985) 876-5000
(985) 876-5280
Mailing address
327 BAYOU GARDENS BLVD, HOUMA, LA 70364-2635
(985) 876-5000
(985) 876-5280
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
202515
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002330
—
LA
Enumeration date
12/18/2007
Last updated
04/19/2012
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