NPI | 1992925135 |
---|---|
Doing Business As | SHREVEPORT SURGERY ANESTHESIA |
Entity Type | Organization |
Authorized Contact | MARY BRIDGES Administrator 318-227-1163 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Enumeration Date | 2007-04-30 |
Last Update Date | 2013-09-12 |