Organization
C SCOTT BOAGNI MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C SCOTT BOAGNI MD (PRESIDENT)
(337) 942-7155
Entity
Organization
Contact information
Practice address
331 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 942-7155
(337) 942-2801
Mailing address
331 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 942-7155
(337) 942-2801
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
O20814
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1657506
—
LA
01
—
CK8600
MEDICARE RAILROAD
LA
Enumeration date
02/03/2006
Last updated
10/27/2008
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