Joseph R Boudreau, M.D.
Urology in Yankton, SD. Individual provider (NPI-1).
NPI number1265624878
StatusActive
Last updated in NPPESJan 13, 2012
Details
- NPI
- 1265624878
- Entity type
- Individual (NPI-1)
- Name
- Joseph R Boudreau
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2007
- Last updated
- Jan 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 4016 | SD | Yes |
Practice location
2009 Locust StYankton, SD 57078-2030
Phone 605-689-1100 · Fax 605-689-1104
Mailing address
2009 Locust StYankton, SD 57078-2030
Phone 605-689-1100 · Fax 605-689-1104
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Urology Physician providers in Yankton, SD
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.