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NPI Code Detail

MEDICARE: ADVANCED MANAGEMENT SERVICES LLC

MEDICARE: ADVANCED MANAGEMENT SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1093038341
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED MANAGEMENT SERVICES LLC
Provider Business Mailing Address
First Line : PO BOX 82803
Second Line :
City : BATON ROUGE
State : LA
Zip : 70884-2803
Country : US
Telephone Number : 225-368-2330
Fax Number : 225-368-2275
Provider Business Practice Location Address
First Line : 9118 BLUEBONNET CENTRE BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2993
Country : US
Telephone Number : 225-368-2330
Fax Number : 225-368-2275
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. SANDRA R WEITZ
Credential : MD
Telephone Number : 225-368-2330
Provider Enumeration Date : 03/01/2010
Last Update Date : 03/02/2010

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Directions to “ADVANCED MANAGEMENT SERVICES LLC ” Practice Location

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