| 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 |