Organization
GREATER BATON ROUGE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH COLE MD (PRESIDENT)
(225) 358-4900
Entity
Organization
Contact information
Practice address
7855 HOWELL BLVD, BATON ROUGE, LA 70807
(225) 358-4900
(225) 358-4901
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448974
—
LA
Enumeration date
05/08/2006
Last updated
03/13/2008
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