Individual
DANE CHRISTOPHER PONTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3221 MILITARY HWY, PINEVILLE, LA 71360-4226
(318) 787-0610
(318) 787-6613
Mailing address
1045 CHRIS CROSSING, WOODWORTH, LA 71485
(318) 442-3101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.A10591
LA
Other
Enumeration date
01/18/2006
Last updated
06/06/2019
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