Organization
RALPH J BOURGEOIS MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIE BONVILLAIN (BILLING MANAGER)
(985) 873-8634
Entity
Organization
Contact information
Practice address
855 BELANGER ST, SUITE 107, HOUMA, LA 70360-4463
(985) 851-0059
Mailing address
855 BELANGER ST, SUITE 107, HOUMA, LA 70360-4463
(985) 851-0059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1377368
—
LA
Enumeration date
09/10/2010
Last updated
09/10/2010
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