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Individual

JOESPH M GAUTREAUX III MD-APMC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
06/16/2011
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