Organization
AM SURGICAL ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MAUTNER CSFA (SURGICAL ASSISTANT)
(504) 905-7456
Entity
Organization
Contact information
Practice address
273 HOLLYWOOD DR, METAIRIE, LA 70005-3919
(504) 905-7456
Mailing address
273 HOLLYWOOD DR, METAIRIE, LA 70005-3919
(504) 905-7456
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
06/23/2020
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