Individual
DR. DAVID A BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5339 ODONAVAN, BATON ROUGE, LA 70808-4388
(225) 766-4999
(225) 763-5870
Mailing address
5339 ODONAVAN, BATON ROUGE, LA 70808-4388
(225) 766-4999
(225) 763-5870
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.012883
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1389561
—
LA
Enumeration date
03/28/2006
Last updated
03/06/2008
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