Organization
NORTH CADDO ANESTHESIA BILLING
Active
Parent organization
NORTH CADDO MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH CADDO MEDICAL CENTER
Authorized official
DAVID C JONES (CFO)
(318) 375-3235
Entity
Organization
Contact information
Practice address
1000 S SPRUCE ST, VIVIAN, LA 71082-3232
(318) 375-3235
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/22/2007
Last updated
10/29/2007
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