# AM SURGICAL ASSIST

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

## Provider details

- **NPI number:** 1619322781
- **Authorized official:** AMY MAUTNER CSFA (SURGICAL ASSISTANT)
- **Authorized official phone:** (504) 905-7456

## Contact information

- **Practice address:** 273 HOLLYWOOD DR, METAIRIE, LA 70005-3919
- **Practice address phone:** (504) 905-7456
- **Mailing address:** 273 HOLLYWOOD DR, METAIRIE, LA 70005-3919
- **Mailing address phone:** (504) 905-7456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2016
- **Last updated:** 06/23/2020