Individual
C. SCOTT BOAGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
331 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 942-7155
(337) 942-2801
Mailing address
331 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 942-7155
(337) 942-2801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
020814
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110247702
MEDICARE RAILROAD
LA
05
—
1657506
—
LA
Enumeration date
07/12/2007
Last updated
10/22/2008
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