Organization
SURGICAL ANESTHESIA OF BATON ROUGE LLC
Active
Organization
SURGICAL ANESTHESIA OF BATON ROUGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW R. RIBAUDO (PRESIDENT)
(404) 446-1417
Entity
Organization
Contact information
Practice address
1757 IMPERIAL BOULEVARD, LAKE CHARLES, LA 70605-5362
(855) 706-5542
(706) 650-1034
Mailing address
PO BOX #204298, DALLAS, TX 75320-4298
(855) 706-5542
(706) 650-1034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444413
—
LA
Enumeration date
10/17/2005
Last updated
04/05/2016
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