Individual
DEVIN MICHAEL BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 493-4004
(985) 493-4007
Mailing address
506 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 493-4004
(985) 493-4007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
309148
LA
Other
Enumeration date
03/20/2017
Last updated
12/11/2020
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