Individual
DR. DANIEL BOUCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 PRYTANIA ST, SUITE 35, NEW ORLEANS, LA 70115-3628
(504) 897-8315
(504) 891-9862
Mailing address
3600 PRYTANIA ST STE 35, NEW ORLEANS, LA 70115-3678
(504) 897-7197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
016995
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1389242
—
LA
Enumeration date
06/11/2006
Last updated
02/27/2019
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