Matthew B Boudreaux, M.D.
Colon & Rectal Surgery in Lafayette, LA. Individual provider (NPI-1).
NPI number1245440577
StatusActive
Last updated in NPPESOct 1, 2021
Details
- NPI
- 1245440577
- Entity type
- Individual (NPI-1)
- Name
- Matthew B Boudreaux
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2007
- Certification date
- Oct 1, 2021
- Last updated
- Oct 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 202133 | LA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
102 Drury LnLafayette, LA 70508-5702
Phone 337-233-0219 · Fax 337-233-2418
Mailing address
5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038
Phone 337-233-0219 · Fax 225-765-9196
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All 9 Colon & Rectal Surgery Physician providers in Lafayette · All 7,488 providers in Lafayette
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