Organization
BOSSIER SURGICAL ASSOCIATES APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. BANDA M.D. (PRESIDENT)
(318) 746-4460
Entity
Organization
Contact information
Practice address
2400 HOSPITAL DR, STE. 250, BOSSIER CITY, LA 71111-2385
(318) 746-4460
(318) 746-3389
Mailing address
2400 HOSPITAL DR, STE. 250, BOSSIER CITY, LA 71111-2385
(318) 746-4460
(318) 746-3389
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035289
—
LA
Enumeration date
10/11/2006
Last updated
05/19/2008
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