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St Tammany Anesthesia Group

Anesthesiology in Metairie, LA. Organization (NPI-2).

NPI number1154486355
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1154486355
Entity type
Organization (NPI-2)
Legal business name
St Tammany Anesthesia Group
Organization subpart
No
Enumeration date
Dec 27, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology––Yes

Practice location

4324 Veterans Blvd
Eyecare Associates
Metairie, LA 70006

Phone 504-455-4046 · Fax 504-455-9890

Mailing address

Po Box 113327
Metairie, LA 70011

Phone 504-309-4211 · Fax 504-309-4214

Authorized official

Kermit L Roux
Head Anesthesialogist
5043094211

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