Organization
REANIMATEMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY CRYER (CREDENTIALING SPECIALISTS)
(318) 704-0001
Entity
Organization
Contact information
Practice address
91 PECANWOOD DR, ALEXANDRIA, LA 71303-6010
(313) 461-1663
(318) 704-5695
Mailing address
91 PECANWOOD DR, ALEXANDRIA, LA 71303-6010
(313) 461-1663
(318) 704-5695
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
02/21/2023
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