DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GERALD WADE MOUTON, MD

Active Sole Proprietor

DR. GERALD WADE MOUTON, MD is a Family Medicine healthcare provider located in LAKE CHARLES, Louisiana. NPI 1770634628 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAKE CHARLES, LA

Registration Details

NPI Number
1770634628
Provider Type
Individual
Gender
Male
NPI Issued
Jan 16, 2007 (19.566816893683 yrs)
Last Updated
May 12, 2022
License
018271 (LA)
Sole Proprietor
Yes

Practice Information

Address
2750 ASTER ST
LAKE CHARLES, LA, 706018824
Browse LA providers · Browse ZIP 70601
Phone
3374808900
Fax
3374808901
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LAKE CHARLES, LA

Name Credential NPI
MR. WILLIAM CARL NABOURS MD 1659371193
DR. EARL RAY STAGG M.D. 1508866963
ALAN LYNN LEBATO MD 1528069739
BRYAN BAROOTES MD 1326040858
DR. EARL JOHN SOILEAU JR. MD 1912999707
DR. RICHARD THOMAS CALDWELL M.D. 1952392532
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.