Organization
SUMMIT ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C BALDONE M.D. (OFFICER)
(985) 624-3470
Entity
Organization
Contact information
Practice address
106 RANDOM OAKS LN, MANDEVILLE, LA 70448-4565
(985) 624-3470
Mailing address
PO BOX 833, MANDEVILLE, LA 70470-0833
(985) 624-3470
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
08846R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1688550
—
LA
Enumeration date
10/23/2007
Last updated
03/06/2012
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