Individual
DOUG GAUTREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2211 LOMAS BLVD NE, ACM200, ALBUQUERQUE, NM 87106-2745
(505) 272-2610
Mailing address
2900 BRADBURY SE, ALBUQUERQUE, NM 87131-0001
(505) 272-2610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R32251
NM
Other
Enumeration date
08/01/2006
Last updated
04/30/2012
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