Organization
DANIEL R. BOURQUE, M.D., A.P.M.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R. BOURQUE M.D. (PHYSICIAN)
(337) 234-3344
Entity
Organization
Contact information
Practice address
435 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 234-3344
(337) 234-3352
Mailing address
435 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 234-3344
(337) 234-3352
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016161
LA
Other
Enumeration date
08/31/2010
Last updated
06/20/2023
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