Organization
STEPHEN A BOUDREAUX MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ANTHONY BOUDREAUX M.D. (PRESIDENT)
(337) 276-5012
Entity
Organization
Contact information
Practice address
2716 MAIN ST, JEANERETTE, LA 70544-3313
(337) 276-5012
(337) 276-9378
Mailing address
2716 MAIN ST, JEANERETTE, LA 70544-3313
(337) 276-5012
(337) 276-9378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14239
LA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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