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Individual

DAVID H BORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
506 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 448-1216
(985) 446-8765
Mailing address
506 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 448-1216
(985) 446-8765

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
014866
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194999
LA
01
4452202
AETNA PPO
LA
01
721333
UNITED HEALTH CARE NUMBER
LA
Enumeration date
08/30/2006
Last updated
07/09/2007
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