Individual
SCOTTY AUSTIN BOUZIGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 E 1ST ST, THIBODAUX, LA 70301-3341
(985) 228-6028
Mailing address
511 W 13TH ST, LAROSE, LA 70373-2330
(985) 438-1637
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
219708
LA
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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