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Individual

MATTHEW B BOUDREAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
102 DRURY LN, LAFAYETTE, LA 70508-5702
(337) 233-0219
(337) 233-2418
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 233-0219
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
202133
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/23/2007
Last updated
10/01/2021
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