Organization
WEST ST. TAMMANY PARISH ANESTHESIA, INC APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE WEILBAECHER M.D. (PRESIDENT)
(985) 892-3225
Entity
Organization
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 892-3225
(985) 234-0628
Mailing address
120 INNWOOD DR, COVINGTON, LA 70433-9123
(985) 892-3225
(985) 234-0628
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
016304
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07789797
—
MS
05
—
1442011
—
LA
Enumeration date
05/30/2005
Last updated
10/30/2009
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