Newell E. Gauthier, Jr. Md

NPI 1093933103 - Clinic/Center - 261QR1300X

NPI Details
NPI 1093933103
Enumeration Date 04/23/2007
Last Updated 01/10/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NEWELL E NEWELL
Position OWNER
Phone (318) 876-3696
Fax (318) 876-3211
Practice Location
912 BRYAN ST.
COTTONPORT LA, 71327, US
Phone (318) 876-3696
Fax (318) 876-3211
Business Location
912 BRYAN ST.
COTTONPORT LA, 71327, US
Phone (318) 876-3696
Fax (318) 876-3211
Toxanomy
Taxonomy Code 261QR1300X
License State Louisiana
License Number 109
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According to our database, Newell E. Gauthier, Jr. Md NPI is 1093933103, taxonomy code is 261QR1300X and license number is 109, license state is located at Louisiana. Newell E. Gauthier, Jr. Md physically located at 912 Bryan St., Cottonport LA, 71327. NPI Number 1033115704 has the healthcare provider type.

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1093933103 NPI number is provided on an as is basis without warranty of any kind. 1093933103 is maintained by the National Plan & Provider Enumeration System. The contents of Newell E. Gauthier, Jr. Md are for informational purposes only.