Organization
PARISH ANESTHESIA ENDOSCOPY OF LAFAYETTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY STEVEN MARTIN (PRESIDENT)
(504) 779-5515
Entity
Organization
Contact information
Practice address
1211 COOLIDGE BLVD, SUITE 302, LAFAYETTE, LA 70503-2636
(337) 269-6062
Mailing address
PO BOX 62600 DEPT 1491, NEW ORLEANS, LA 70162-2600
(504) 779-5515
(504) 779-5568
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
07/09/2009
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