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Organization
NEWELL E. GAUTHIER JR. MD
Active
Organization
NEWELL E. GAUTHIER JR. MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEWELL GAUTHIER JR. M.D. (OWNER)
(318) 941-2336
Entity
Organization
Contact information
Practice address
417 NORTH MLK DRIVE, SIMMESPORT, LA 71369
(318) 941-2336
(318) 941-2388
Mailing address
417 NORTH MLK DRIVE, SIMMESPORT, LA 71369
(318) 941-2336
(318) 941-2388
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
112
LA
Other
Enumeration date
04/26/2007
Last updated
01/11/2008
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