| Doctor Name: | PETER J MONTEYNE |
| NPI Number: | 1043222508 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 08055R |
| Business Practice Address: | 609 E Worthy St Gonzales, LA - 707374240 |
| Business Phone Number: | 2256476533 |
| Business Fax Number: | 2256447533 |
| Mailing Address: | Po Box 1499, GONZALES |
| State: | LA |
| Postal Code: | 707071499 |
| Phone Number: | 2256475526 |
| Fax Number: | 2256475531 |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 08055R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |