Individual
PETER CHARLES GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1816 INDUSTRIAL BLVD, HARVEY, LA 70058-2314
(504) 366-7638
Mailing address
2208 MANHATTAN AVE, MANHATTAN BEACH, CA 90266-4425
(310) 802-9181
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
024771
LA
207P00000X
Emergency Medicine Physician
A90911
CA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
024771
LA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
A90911
CA
Other
Enumeration date
08/29/2006
Last updated
09/11/2025
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