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Organization

DEREK BAUMBOUREE, MD, APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEREK BAUMBOUREE MD (OWNER)
(337) 984-2444
Entity
Organization

Contact information

Practice address
324 E FARREL RD, LAFAYETTE, LA 70508-7106
(337) 984-2444
(337) 988-8885
Mailing address
324 E FARREL RD, LAFAYETTE, LA 70508-7106
(337) 984-2444
(337) 988-8885

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022823
LA

Other

Enumeration date
01/11/2017
Last updated
01/11/2017
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