Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROME CHARLES MAUTERER SR., CSTFA
Active Sole ProprietorJEROME CHARLES MAUTERER SR., CSTFA is a Surgical Physician Assistant healthcare provider located in SLIDELL, Louisiana. NPI 1093034373 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SLIDELL, LA
Registration Details
- NPI Number
- 1093034373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2010 (16.187056649658 yrs)
- Last Updated
- Oct 22, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 TERRELL DRSLIDELL, LA, 704603433Browse LA providers · Browse ZIP 70460
- Phone
- 9854456902
- Fax
- 9857814872
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in SLIDELL, LA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL ANTHONY BENINATO | MPAS, PA-C | 1043286388 |
| STEPHEN RYAN HONEYCUTT | PAC | 1275560849 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.