Organization
MEDICAL CENTER ANESTHESIOLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID COLLINS DEAS MD (CHIEF OF ANESTHESIA- PRESIDENT)
(318) 681-4440
Entity
Organization
Contact information
Practice address
1 SAINT MARY PL, ANESTHESIA DEPT, SHREVEPORT, LA 71101-4343
(318) 681-4440
(318) 681-6862
Mailing address
1343 CANTON RD STE C, MARIETTA, GA 30066-6079
(318) 300-3643
(678) 888-0390
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1795241
—
LA
01
—
C50853
MCR RAILROAD
LA
Enumeration date
10/04/2005
Last updated
01/13/2012
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