Individual
DR. CHESTER GREGORY BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 RUE MARGUERITE, THIBODAUX, LA 70301-6738
(985) 446-2131
(985) 447-3383
Mailing address
142 RUE MARGUERITE, THIBODAUX, LA 70301-6738
(985) 446-2131
(985) 447-3383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.022212
LA
208D00000X
General Practice Physician
Primary
022212
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1493783
—
LA
Enumeration date
10/18/2005
Last updated
04/03/2025
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