Organization
JOSEPH M GAUTREAUX, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M GAUTREAUX, III III M.D. (OWNER)
(504) 464-8683
Entity
Organization
Contact information
Practice address
1302 WILLIAMS BLVD, KENNER, LA 70062
(504) 464-8683
(504) 464-9100
Mailing address
1302 WILLIAMS BLVD, KENNER, LA 70062
(504) 464-8683
(504) 464-9100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
013371
LA
207Y00000X
Otolaryngology Physician
MD.013371
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1307505
—
LA
Enumeration date
03/08/2007
Last updated
01/07/2011
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