Organization
NORTH OAKS ANESTHESIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J GRISOLI M.D. (OWNER)
(985) 902-9763
Entity
Organization
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 902-9763
Mailing address
PO BOX 1516, HAMMOND, LA 70404-1516
(985) 345-8867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04670215
—
MS
05
—
1013692
—
LA
Enumeration date
07/11/2007
Last updated
02/27/2008
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