Individual
DR. JEVIN MARC BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 EVANGELINE HWY, BASILE, LA 70515-3332
(337) 432-6712
Mailing address
9000 EVANGELINE HWY, BASILE, LA 70515-3332
(337) 432-6712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.204694
LA
Other
Enumeration date
06/20/2008
Last updated
07/05/2011
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