Individual
CARL M GAUTHIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15813 PAUL VEGA MD DR STE 400, HAMMOND, LA 70403-1431
(985) 230-1835
(985) 230-1836
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-1835
(985) 230-1836
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD.201999
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1077330
—
LA
Enumeration date
07/30/2007
Last updated
12/08/2022
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