Organization
SURGICAL ANESTHESIA OF BOSSIER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE DEYO (OFFICE MANAGER)
(301) 515-4222
Entity
Organization
Contact information
Practice address
20201 CENTURY BLVD, GERMANTOWN, MD 20874-1113
(301) 515-4222
(301) 515-4153
Mailing address
PO BOX 1510, GERMANTOWN, MD 20875-1510
(301) 515-4222
(301) 515-4153
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/17/2005
Last updated
09/11/2025
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