Individual
SCOTT T BOYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 325-3838
Mailing address
PO BOX 1339, WEST MONROE, LA 71294-1339
(318) 325-3838
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12996R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1569267
—
LA
01
—
300112172
RAILROAD MEDICARE
LA
Enumeration date
07/03/2006
Last updated
01/10/2011
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