# NEWELL E. GAUTHIER JR. MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427278241
- **Authorized official:** DR. NEWELL GAUTHIER JR. M.D. (OWNER)
- **Authorized official phone:** (318) 941-2336

## Contact information

- **Practice address:** 417 NORTH MLK DRIVE, SIMMESPORT, LA 71369
- **Practice address phone:** (318) 941-2336
- **Practice address fax:** (318) 941-2388
- **Mailing address:** 417 NORTH MLK DRIVE, SIMMESPORT, LA 71369
- **Mailing address phone:** (318) 941-2336
- **Mailing address fax:** (318) 941-2388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 112 | LA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 01/11/2008