Individual
DAVID T BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2195
(337) 470-4590
Mailing address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2195
(337) 470-4590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12392R
LA
208M00000X
Hospitalist Physician
Primary
MD.12392R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489140
—
LA
01
—
5CJ96
MEDICARE
LA
Enumeration date
08/09/2006
Last updated
01/18/2021
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