# COASTAL ANESTHESIA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588637169
- **Authorized official:** DR. RANDALL C BOUDREAUX MD (PRESIDENT)
- **Authorized official phone:** (251) 342-3000

## Contact information

- **Practice address:** 3719 DAUPHIN ST, SPRINGHILL MEDICAL CENTER ANESTHESIA DEPT, MOBILE, AL 36608-1753
- **Practice address phone:** (251) 342-3000
- **Practice address fax:** (251) 342-3043
- **Mailing address:** PO BOX 851417, MOBILE, AL 36685-1417
- **Mailing address phone:** (251) 342-3000
- **Mailing address fax:** (251) 342-3043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2006
- **Last updated:** 03/18/2008