Individual
PETER J MONTEYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2304 S. BURNSIDE AVE, STE 2, GONZALES, LA 70737
(225) 647-6533
(225) 644-7533
Mailing address
P.O. BOX 1499, GONZALES, LA 70707-1499
(225) 647-6533
(225) 644-7533
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
08055R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08055R
LA STATE MEDICAL LICENSE
LA
05
—
1386952
—
LA
01
—
19208
LA CONTROLLED SUBSTANCE N
LA
Enumeration date
08/13/2006
Last updated
03/07/2023
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