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Individual
MACANTOINE LOUIS-JACQUES
Active
Individual
MACANTOINE LOUIS-JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31796
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
31796
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504307
—
AZ
05
—
100504307
—
NV
01
—
453100002
AHCCCS
AZ
01
—
AZ0768070
BCBS OF ARIZONA
AZ
01
—
P00151557
RAILROAD MEDICARE
CA
Enumeration date
06/03/2006
Last updated
05/04/2022
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