Individual provider · Type 1 NPI

Victor Gaston Theriault, MD

Family Medicine Physician · Montgomery, AL

NPI number 1396742318 Active

Practice location

2905 E South Blvd
Montgomery, AL 36116-2501

Call (334) 420-5001 Map

Fax (334) 420-0160

Mailing address

712 Willis Ave
Bogalusa, LA 70427-3004

Other practice locations

  • 712 Willis Ave, Bogalusa, LA 70427-3004 · (985) 732-4853

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X014544 (LA)

Family Medicine Physician: 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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About NPI 1396742318

Victor Gaston Theriault, MD's National Provider Identifier is 1396742318, issued on Jul 5, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Montgomery, AL. The record was last updated on Mar 26, 2025.