ALEXANDRIA ORAL SURGERY ASSOCIATES LLP
Surgery Yellow Pages
Alexandria, Louisiana
Provider NPI: 1588641096
Organization Information:Organization Name: ALEXANDRIA ORAL SURGERY ASSOCIATES LLP
Practice Location:
1403 PETERMAN DR ALEXANDRIA, LA 71301 US
Tel: 318-443-7208 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1403 PETERMAN DR ALEXANDRIA, LA 71301 US
Tel: 318-443-7208 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
UCCI | 817979 | 01 | |
1881848 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin