Individual
ZACHARY MICHAEL GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 473-9556
(318) 441-8339
Mailing address
3444 MASONIC DRIVE, ALEXANDRIA, LA 71301
(318) 473-9556
(318) 441-8339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
334157
LA
363AS0400X
Surgical Physician Assistant
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2606107
—
LA
Enumeration date
08/18/2022
Last updated
10/08/2025
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