Mark Ricard Boudreau JR., DO

NPI #1659834323 in Rome, Georgia

Provider Information

NPI Number: 1659834323
Entity Type: Individual
Name: Mark Ricard Boudreau JR., DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: Apr 10, 2019
Last Updated: May 26, 2023

Practice Location

Address: 304 SHORTER AVE NW STE 105
City: Rome
State: Georgia
ZIP Code: 30165-4256
Phone: (706) 236-4880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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