Organization
BAYOU ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN DAIGLE CRNA (CO-OWNER)
(318) 805-6551
Entity
Organization
Contact information
Practice address
901 JAMES AVE, FARMERVILLE, LA 71241-2234
(318) 368-9751
Mailing address
921 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(847) 615-2200
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/21/2011
Last updated
02/21/2018
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