Organization
PARISH ANESTHESIA WEST BANK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY STEVEN MARTIN (MANAGER)
(504) 779-5515
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD, MARRERO, LA 70072-3151
(504) 349-2332
Mailing address
255 W MICHIGAN AVE, P O BOX 1123, JACKSON, MI 49201-2218
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/12/2007
Last updated
10/17/2007
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