Individual
TIMOTHY J. GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
35401 MISSION DRIVE, ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-3529
Mailing address
P.O. BOX 880, ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-3529
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
76583
MT
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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