| Doctor Name: | GAEL H GAUTHIER |
| NPI Number: | 1629354055 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 280 1st St Holloman Afb, NM - 883308273 |
| Business Phone Number: | 5755723041 |
| Business Fax Number: | 5755722259 |
| Mailing Address: | 301 Fisher St, Emergency Department KEESLER AFB |
| State: | MS |
| Postal Code: | 39534 |
| Phone Number: | 2283760500 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2011 |
| NPI Last Update Date: | 04/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |