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Dr. Victor Gaston Theriault, MD
Family Medicine Physician in Bogalusa, Louisiana
NPI 1396742318

Victor Gaston Theriault is a Family Medicine Physician based in Bogalusa, LA. Victor Gaston Theriault practices in Bogalusa, LA and has the professional credentials of MD. The NPI Number for Victor Gaston Theriault is 1396742318 and holds a License No. 014544 (Louisiana).

The current practice location address for Victor Gaston Theriault is 712 Willis Ave, Bogalusa, LA and can be reached out via phone at 985-732-4853 and via fax at 985-735-8883.

Location: 712 Willis Ave, Bogalusa, LA, 70427-3004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396742318
Provider Name
Victor Gaston Theriault
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
712 Willis Ave, Bogalusa, LA, 70427-3004
Phone Number
985-732-4853
Fax Number
985-735-8883
Provider Enumeration Date
07/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1181251 05 LA
institution
Provider Business Practice Location Address Details
Address
712 Willis Ave
City
Bogalusa
State
Louisiana
Zip
70427-3004
Phone Number
985-732-4853
Fax Number
985-735-8883
person
Provider Business Mailing Address Details
Address
712 Willis Ave
City
Bogalusa
State
Louisiana
Zip
70427-3004
Phone Number
985-732-4853
Fax Number
985-735-8883
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
014544 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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