Individual provider · Type 1 NPI
Robert A. Boudreau, DPM
Foot & Ankle Surgery Podiatrist · Tyler, TX
NPI number
1326147281
Active
Practice location
1028 E Idel, Suite A
Tyler, TX 75701
Fax (903) 593-1749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0833 (TX) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1326147281
Robert A. Boudreau, DPM's National Provider Identifier is 1326147281, issued on Sep 21, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Tyler, TX. The record was last updated on May 18, 2011.