Advanced Anesthesia Services, LLC

NPI #1114974235 in Gray, Louisiana

Provider Information

NPI Number: 1114974235
Entity Type: Organization
Organization Name: Advanced Anesthesia Services, LLC
Primary Specialty: Anesthesiology
Enumeration Date: May 27, 2006
Last Updated: Jul 26, 2007

Practice Location

Address: 149 FRONTAGE A RD
City: Gray
State: Louisiana
ZIP Code: 70359-6301
Phone: (985) 580-1200

Authorized Official

Name: DR. JIMMY NOLAN PONDER JR., MD
Title: OWNER/CEO
Phone: (985) 580-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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