Organization
CARDIOVASCULAR SURGERY OF ALEXANDRIA ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMIE M GRANGER M.D. (OWNER)
(318) 767-5878
Entity
Organization
Contact information
Practice address
211 4TH ST # 30163, ALEXANDRIA, LA 71301-8421
(318) 767-5878
(318) 767-5887
Mailing address
211 4TH ST # 30163, ALEXANDRIA, LA 71301-8421
(318) 767-5878
(318) 767-5887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10146R
LA
Other
Enumeration date
03/08/2007
Last updated
03/03/2009
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