Individual
BEAU DAVID BOUDREAUX
Active
Individual
BEAU DAVID BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.207047
LA
207RR0500X
Rheumatology Physician
Primary
MD.207047
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153200
—
LA
Enumeration date
05/10/2011
Last updated
07/21/2022
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