Individual
ROSS PATRICK MESTAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 LINDBERG DR, SLIDELL, LA 70458-8062
(985) 641-8008
Mailing address
PO BOX 3249, SLIDELL, LA 70459-3249
(985) 641-8008
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.14383R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1573558
—
LA
Enumeration date
11/29/2006
Last updated
07/08/2007
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