Individual
DR. RICHARD J BOURGEOIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W PINHOOK RD, SUITE 300, LAFAYETTE, LA 70503-2460
(337) 264-1390
Mailing address
1000 W PINHOOK RD, SUITE 300, LAFAYETTE, LA 70503-2460
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
012612
LA
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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