NPI 1205124955
Matthew B. Boudreaux, M.D., L.L.C.
Practice location
- Address
- 1103 W University Ave, Lafayette, LA 70506-3462
- Phone
- (337) 233-0219
- Fax
- (337) 233-2418
Authorised official
- Name
- Matthew B Boudreaux
- Title
- President
- Phone
- (337) 233-0219
Registered specialties
Colon & Rectal Surgery Physician
Primary
Registry record
- NPI
- 1205124955
- Entity type
- Organization
- NPI issued
- 15 Jul 2011
- Record last updated
- 17 Nov 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.