Organization
BOURGEOIS FAMILY MEDICINE CLINIC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD BARROW BOURGEOIS M.D. (OWNER)
(337) 276-6018
Entity
Organization
Contact information
Practice address
1409 CHURCH ST, JEANERETTE, LA 70544-4407
(337) 276-6018
(337) 276-9507
Mailing address
1409 CHURCH ST, JEANERETTE, LA 70544-4407
(337) 276-6018
(337) 276-9507
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
017806
LA
Other
Enumeration date
12/04/2007
Last updated
03/11/2008
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