GERALD WADE MOUTON

LAKE CHARLES, LA
NPI1770634628
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  018271)
Enumeration Date2007-01-16
Last Update Date2022-05-12
Business Address
Dr. GERALD WADE MOUTON MD
2750 ASTER ST
LAKE CHARLES, LA 70601-8824
Phone number: 337-480-8900
Mailing Address
Dr. GERALD WADE MOUTON MD
PO BOX 122539 DEPT 2539
DALLAS, TX 75312-2539
Phone number: 337-494-2921
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