Individual
DR. VICTOR JOHNSON VAUTROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(337) 258-3685
Mailing address
1174 BRIGMAN HWY, EUNICE, LA 70535-7759
(337) 258-3685
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
203416
LA
Other
Enumeration date
07/12/2007
Last updated
10/28/2015
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