Individual
DR. JOSEPH YVES BORDELON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 HOSPITAL DR, SUITE 4, OPELOUSAS, LA 70570-6552
(337) 948-7090
(337) 942-8108
Mailing address
1200 HOSPITAL DR, SUITE 4, OPELOUSAS, LA 70570-6552
(337) 948-7090
(337) 942-8108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
012611
LA
207RP1001X
Pulmonary Disease Physician
012611
LA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
012611
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012611
STATE MEDICAL LICENSE
LA
05
—
1309419
—
LA
Enumeration date
10/19/2006
Last updated
07/14/2015
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