Individual
WILLIAM M BOEDEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD STE 8001, BATON ROUGE, LA 70808-4300
(225) 490-7224
(225) 490-7223
Mailing address
7777 HENNESSY BLVD, SUITE 1008, BATON ROUGE, LA 70808-4300
(225) 766-0416
(225) 769-9212
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD.202255
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD.202255
LA STATE MEDICAL LICENSE
LA
Enumeration date
05/03/2007
Last updated
01/15/2021
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