Individual
CRAIG MICHAEL GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 N LEWIS ST, SUITE 102, NEW IBERIA, LA 70563-2094
(337) 367-9411
(337) 256-8892
Mailing address
520 N LEWIS ST, SUITE 102, NEW IBERIA, LA 70563-2094
(337) 367-1291
(337) 365-8421
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
09814R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1684864
—
LA
Enumeration date
07/25/2006
Last updated
07/19/2013
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