Randy Peter Bouligny, MD
Ophthalmology in Bogalusa, LA. Individual provider (NPI-1).
NPI number1609808294
StatusActive
Last updated in NPPESMar 28, 2019
Details
- NPI
- 1609808294
- Entity type
- Individual (NPI-1)
- Name
- Mr. Randy Peter Bouligny
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2006
- Last updated
- Mar 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 021802 | LA | Yes |
Practice location
409 Avenue FBogalusa, LA 70427-3633
Phone 504-455-1816 · Fax 504-887-7816
Mailing address
409 Avenue FBogalusa, LA 70427-3633
Phone 985-735-8137 · Fax 985-732-4777
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