Organization
SURGERY CENTER OF WEST MONROE
Active
Organization
SURGERY CENTER OF WEST MONROE
Active
Other names
Medical Staff Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND E HAIK JR. MD (MEDICAL DIRECTOR)
(318) 325-2610
Entity
Organization
Contact information
Practice address
102 REGENCY PL, WEST MONROE, LA 71291-4452
(318) 322-4888
Mailing address
102 REGENCY PL, WEST MONROE, LA 71291-4452
(318) 322-4888
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2447
BLUE CROSS PROVIDER NUMBE
LA
Enumeration date
11/15/2007
Last updated
11/15/2007
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