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Individual

SAMUEL S MCCAULLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8212 SUMMA AVE, BATON ROUGE, LA 70809-3421
(225) 769-4403
(225) 769-3842
Mailing address
8212 SUMMA AVE, BATON ROUGE, LA 70809-3421
(225) 769-4403
(225) 769-3842

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN065575 AP01548
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN065575 AP01548
LA AP LIC
LA
Enumeration date
04/04/2007
Last updated
07/08/2007
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