Individual
DR. NEWELL ERWIN GAUTHIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
912 BRYAN ST, COTTONPORT, LA 71327-4288
(318) 876-3696
(318) 876-3211
Mailing address
PO BOX 489, COTTONPORT, LA 71327-0489
(318) 876-3696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD011868
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949876
—
LA
Enumeration date
05/31/2006
Last updated
07/07/2010
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