Primary Anesthesia Services

NPI #1316078595 in Jennings, Louisiana

Provider Information

NPI Number
1316078595
Entity Type
Organization
Organization Name
Primary Anesthesia Services
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Mar 8, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1634 ELTON RD
ZIP Code
70546-3614
Phone
(337) 616-7150

Authorized Official

Name
W. DEAN FONTENOT
Title
CRNA
Phone
(337) 616-7150

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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