Organization
ROUGEAU GROUP P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY H ROUGEAU CRNA (OWNER)
(501) 428-8868
Entity
Organization
Contact information
Practice address
455 HOGAN LN, CONWAY, AR 72034-8201
(501) 513-0799
Mailing address
805 COUNTRY CLUB RD, CONWAY, AR 72034-7273
(501) 428-8868
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00616
AR
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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