Individual
BRIAN D MONETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1112 E ASCENSION COMPLEX AVE., GONZALES, LA 70737
(225) 921-5770
(225) 644-5168
Mailing address
P.O. BOX 1725, GONZALES, LA 70107-1725
(225) 621-5770
(225) 644-5168
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
R019642 / L023786
LA
2084P0800X
Psychiatry Physician
Primary
023786
LA
2084P0800X
Psychiatry Physician
R019642 / L023786
LA
2084P0804X
Child & Adolescent Psychiatry Physician
R019642 / L023786
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480789
—
LA
Enumeration date
07/31/2006
Last updated
01/25/2012
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