Organization
NORTHLAKE ANESTHESIOLOGISTS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JOSEPH SCURRIA MD (VICE PRESIDENT)
(504) 717-5387
Entity
Organization
Contact information
Practice address
636 GAUSE BLVD STE 300, SLIDELL, LA 70458-2007
(985) 649-4063
(985) 649-2833
Mailing address
636 GAUSE BLVD, SUITE 300, SLIDELL, LA 70458-2007
(985) 649-4063
(985) 649-2833
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1796450
—
LA
01
—
26676
BLUE CROSS
LA
Enumeration date
09/06/2006
Last updated
09/22/2022
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