Dr. Blaine Phillip Boutte, MD - Broussard, LA

Dr. Blaine Phillip Boutte, MD

Student in an Organized Health Care Education/Training Program in Broussard, Louisiana

NPI 1699424978

Blaine Phillip Boutte is a Student in an Organized Health Care Education/Training Program based in Broussard, LA. Blaine Phillip Boutte practices in Broussard, LA and has the professional credentials of MD. The NPI Number for Blaine Phillip Boutte is 1699424978 and holds a License No. (Louisiana).

The current practice location address for Blaine Phillip Boutte is 108 Sumter Ave, Broussard, LA and can be reached out via phone at 337-654-1823.

Location: 108 Sumter Ave, Broussard, LA, 70518-7312

NPI Number

1699424978

Provider Name

Blaine Phillip Boutte

Credential

Provider Entity Type

Individual

Gender

Male

Address

108 Sumter Ave, Broussard, LA, 70518-7312

Phone Number

337-654-1823

Fax Number

Provider Enumeration Date

03/22/2022

Last Update Date

03/10/2024

Address

108 Sumter Ave

City

Broussard

State

Louisiana

Zip

70518-7312

Phone Number

337-654-1823

Fax Number

Address

108 Sumter Ave

City

Broussard

State

Louisiana

Zip

70518-7312

Phone Number

337-654-1823

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

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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