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Individual

JOHN PAUL SPERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 391-5157
Mailing address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 391-5157

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP02011
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN034661
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00139002
MS
05
1397105
LA
Enumeration date
07/28/2006
Last updated
01/06/2015
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