Organization
JEFFERSON ANESTHESIA CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT GILLEN MD (MEMBER)
(504) 408-0804
Entity
Organization
Contact information
Practice address
2816 KINGSTON ST STE C, KENNER, LA 70062-4995
(504) 408-0804
Mailing address
2816 KINGSTON ST STE C, KENNER, LA 70062-4995
(504) 408-0804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/15/2022
Last updated
08/10/2022
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