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Individual

BLAIR BUDDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
91 SETTLERS TRACE BLVD STE 3, LAFAYETTE, LA 70508-6090
(337) 524-1700
(337) 524-1702
Mailing address
91 SETTLERS TRACE BLVD STE 3, LAFAYETTE, LA 70508-6090
(337) 524-1700
(337) 524-1702

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
306292
LA
390200000X
Student in an Organized Health Care Education/Training Program
008212132
LA

Other

Enumeration date
05/03/2012
Last updated
09/19/2018
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