Organization
DAVID T BOOHER MD AMPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID THOMAS BOOHER MD (DOCTOR)
(337) 988-2004
Entity
Organization
Contact information
Practice address
4212 W CONGRESS ST, SUITE 3600, LAFAYETTE, LA 70506-6765
(337) 988-2004
(337) 981-5012
Mailing address
4212 W CONGRESS ST, SUITE 3600, LAFAYETTE, LA 70506-6765
(337) 988-2004
(337) 981-5012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12392R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489140
—
LA
Enumeration date
05/08/2007
Last updated
06/30/2010
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