NPI 1063602431

Tiffany Moore Bourgeois, MD

Practitioner Anesthesiology Physician Baton Rouge, LA

Practice location

Address: 8212 Summa Ave, Baton Rouge, LA 70809-3421
Phone: (225) 769-4403
Fax: (225) 769-3842
Mailing address: 2012 Pointe South Dr, Zachary, LA 70791-5426

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence MD.202681 (LA)

Other Anesthesiology providers in Louisiana →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 2011-00769 (NC)

Registry record

NPI: 1063602431
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2007
Record last updated: 23 Oct 2012

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.