Individual
MATTHEW J MEYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1444 PETERMAN DR, ALEXANDRIA, LA 71301-3432
(318) 442-5399
(318) 442-1586
Mailing address
PO BOX 5887, ALEXANDRIA, LA 71307-5887
(318) 442-5399
(318) 442-1586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APO4386
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1179850
—
LA
Enumeration date
05/12/2006
Last updated
03/07/2012
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