Individual
MR. SHANNON CHRISTOPHER BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-7710
(850) 416-7677
Mailing address
14516 LAKE TOWN DR, BATON ROUGE, LA 70810
(850) 261-9939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME95353
FL
208000000X
Pediatrics Physician
ME95353
FL
Other
Enumeration date
05/23/2006
Last updated
02/09/2024
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