Individual
DR. STEPHEN ANTHONY BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 N LEWIS ST STE 203, NEW IBERIA, LA 70563-2094
(337) 364-3444
(337) 364-3224
Mailing address
520 N LEWIS ST STE 203, NEW IBERIA, LA 70563-2094
(337) 364-3444
(337) 364-3224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014239
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1906336
—
LA
Enumeration date
07/21/2006
Last updated
03/14/2019
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