WEST JEFFERSON SURGERY CENTER LLC NPI 1508850413

NPI Information

WEST JEFFERSON SURGERY CENTER LLC is an ambulatory surgical clinic center in Marrero, LA. WEST JEFFERSON SURGERY CENTER LLC NPI is 1508850413. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Gwen Mcinnis Administrator.

The provider's business location address is:

1111 MEDICAL CENTER BLVD
STE 105 NORTH
MARRERO, LA
ZIP 70072
Phone: (504) 349-2332
Fax: (504) 349-2359

The provider's authorized official is Gwendolyn Morvant Mcinnis .
The authorized official title is Administrator and has the following contact phone number (504) 349-6017.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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