| Newell E. Gauthier Jr. Md | |
|
417 North Mlk Drive Simmesport LA 71369 | |
| (318) 941-2336 | |
| (318) 941-2388 |
| Full Name | Newell E. Gauthier Jr. Md |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 417 North Mlk Drive, Simmesport, Louisiana |
| Authorized Official Name and Position | Newell Gauthier (OWNER) |
| Authorized Official Contact | 3189412336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newell E. Gauthier Jr. Md 417 North Mlk Drive Simmesport LA 71369 Ph: (318) 941-2336 | Newell E. Gauthier Jr. Md 417 North Mlk Drive Simmesport LA 71369 Ph: (318) 941-2336 |
| NPI Number | 1427278241 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427278241 | NPI | - | NPPES |
| 1448648 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 112 (Louisiana) | Primary |
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