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Dr. Daniel Joseph Bourgeois III, MD
Student in an Organized Health Care Education/Training Program in Slidell, Louisiana
NPI 1043568991

Daniel Joseph Bourgeois III is a Student in an Organized Health Care Education/Training Program based in Slidell, LA. Daniel Joseph Bourgeois III practices in Slidell, LA and has the professional credentials of MD. The NPI Number for Daniel Joseph Bourgeois III is 1043568991 and holds a License No. MD.304471 (Louisiana).

The current practice location address for Daniel Joseph Bourgeois III is 1120 Robert Blvd Ste 100, Slidell, LA and can be reached out via phone at 985-280-8868 and via fax at 985-280-6642.

Location: 1120 Robert Blvd Ste 100, Slidell, LA, 70458-2068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043568991
Provider Name
Daniel Joseph Bourgeois III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1120 Robert Blvd Ste 100, Slidell, LA, 70458-2068
Phone Number
985-280-8868
Fax Number
985-280-6642
Provider Enumeration Date
08/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2437461 05 LA
institution
Provider Business Practice Location Address Details
Address
1120 Robert Blvd Ste 100
City
Slidell
State
Louisiana
Zip
70458-2068
Phone Number
985-280-8868
Fax Number
985-280-6642
person
Provider Business Mailing Address Details
Address
1120 Robert Blvd Ste 100
City
Slidell
State
Louisiana
Zip
70458-2068
Phone Number
985-280-8868
Fax Number
985-280-6642
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
()
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD.304471 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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