Organization
NATCHITOCHES ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK RAY PITRE CRNA (PRESIDENT)
(318) 214-0069
Entity
Organization
Contact information
Practice address
501 KEYSER AVE, NATCHITOCHES, LA 71457-6018
(318) 214-4200
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440086
—
LA
Enumeration date
04/06/2007
Last updated
10/29/2007
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