Organization
ENDOSCOPY CENTER OF MONROE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY WALDO (BUSINESS MANAGER)
(318) 325-2634
Entity
Organization
Contact information
Practice address
316 S 6TH ST, MONROE, LA 71201-7568
(318) 325-2649
(318) 812-1205
Mailing address
316 S 6TH ST, MONROE, LA 71201-7568
(318) 325-2649
(318) 812-1205
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1385735
—
LA
Enumeration date
02/07/2018
Last updated
01/19/2023
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