DR. Blaine Phillip Boutte, MD is a student in an organized health care education training program in Broussard, LA. The provider is 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. DR. Blaine Phillip Boutte, MD NPI is 1699424978. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
108 SUMTER AVE
BROUSSARD, LA
ZIP 70518-312
Phone: (337) 654-1823
The NPI 1699424978 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/22/2022 and was last updated on 3/22/2022.