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Organization

ANESTHESIA ASSOCIATES OF RUSTON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK L COX JR. MD (OWNER)
(318) 251-3620
Entity
Organization

Contact information

Practice address
925 NORTH TRENTON STREET, RUSTON, LA 71270
(318) 251-3620
(318) 255-6604
Mailing address
PO BOX 2048, RUSTON, LA 71273-2048
(318) 251-3620
(318) 255-6604

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1337048
LA
01
437946305D
BLUE CROSS
LA
Enumeration date
07/21/2006
Last updated
11/12/2007
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