Individual
MR. SHANNON CHRISTOPHER BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BUBBA WATSON DRIVE, PENSACOLA, FL 32504-8721
(850) 416-7000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
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
07/22/2026
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