Whalio Doctors

NPI 1245440577

Matthew B Boudreaux, MD

Practitioner Colon & Rectal Surgery Physician Lafayette, LA

Practice location

Address
102 Drury Ln, Lafayette, LA 70508-5702
Phone
(337) 233-0219
Fax
(337) 233-2418
Mailing address
5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Registered specialties (2)

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 202133 (LA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1245440577
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 May 2007
Record last updated
1 Oct 2021

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.