| Doctor Name: | JOHN ANTHONY BOUDREAU |
| NPI Number: | 1053338640 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D0063481 |
| Business Practice Address: | 3635 Vista Avenue 7th Floor Desloge Towers St Louis, MO - 63110 |
| Business Phone Number: | 3145778855 |
| Business Fax Number: | 3142685121 |
| Mailing Address: | 3691 Rutger Ave, Provider Enrollment ST LOUIS |
| State: | MO |
| Postal Code: | 63110 |
| Phone Number: | 3149774440 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 01/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207X00000X |
| License Number: | D0063481 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Orthopaedic Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |