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Individual

RONALD L. BOUDREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 769-4044
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 769-4044

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
078620
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1927481
LA
Enumeration date
06/27/2006
Last updated
01/27/2021
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