Individual
DAVID C FONTENOT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2400 HOSPITAL DR, BOSSIER CITY, LA 71111-2385
(318) 212-7000
Mailing address
6014 PEPPERWOOD CIR, BOSSIER CITY, LA 71111-5678
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN089746
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1155837
—
LA
Enumeration date
09/20/2006
Last updated
07/31/2008
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