TIFFANY MOORE BOURGEOIS

BATON ROUGE, LA
NPI1063602431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: LA  MD.202681)
Additional Taxonomies207L00000X Anesthesiology
(Licence: NC  2011-00769)
Enumeration Date2007-07-31
Last Update Date2012-10-23
Business Address
-- TIFFANY MOORE BOURGEOIS md
8212 SUMMA AVE
BATON ROUGE, LA 70809-3421
Phone number: 225-769-4403
Mailing Address
-- TIFFANY MOORE BOURGEOIS md
2012 POINTE SOUTH DR
ZACHARY, LA 70791-5426
Phone number: 225-202-0946