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Individual

MR. PAUL ANTHONY MOLBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2700 NAPOLEON AVE, NEW ORLEANS, LA 70115-6914
(504) 899-1114
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2761
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
APO3822
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009910061
AL
05
1111309
LA
01
P00406140
RAILROAD MEDICARE
GA
Enumeration date
08/04/2006
Last updated
03/29/2023
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