Organization
TWIN CITY ANESTHESIA
Active
Other names
Anesthesia Associates of Monroe
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HAYS (BUSINESS MANAGER)
(847) 615-2200
Entity
Organization
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 323-8887
(847) 615-2858
Mailing address
925 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(318) 323-8887
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026778
—
LA
Enumeration date
07/07/2006
Last updated
08/22/2020
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