Organization
ASCENSION SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN B MANALE (OWNER)
(225) 743-2277
Entity
Organization
Contact information
Practice address
1212 RIVERVIEW BLVD, SUITE 3020, GONZALES, LA 70737-5023
(225) 743-2277
(225) 743-2279
Mailing address
1212 RIVERVIEW BLVD, SUITE 3020, GONZALES, LA 70737-5023
(225) 743-2277
(225) 743-2279
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02608
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1627488
—
LA
Enumeration date
03/16/2006
Last updated
08/22/2020
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