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Organization

PROFESSIONAL ANESTHESIA CONSULTANTS, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL T COURTNEY M.D. (ANESTHESIOLOGIST/MANAGING PARTNER)
(318) 448-4440
Entity
Organization

Contact information

Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 473-3000
Mailing address
211 4TH ST, BOX 30135, ALEXANDRIA, LA 71301-8421
(318) 448-4440
(318) 473-4340

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942391
LA
01
CS4723
RAILROAD MEDICARE
Enumeration date
08/26/2005
Last updated
10/17/2007
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