Provider Demographics
NPI:1801282777
Name:ALLEGIANT SURGICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:ALLEGIANT SURGICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUZAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:985-542-1724
Mailing Address - Street 1:720 OAK HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-8223
Mailing Address - Country:US
Mailing Address - Phone:985-542-1724
Mailing Address - Fax:
Practice Address - Street 1:720 OAK HOLLOW DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-8223
Practice Address - Country:US
Practice Address - Phone:985-542-1724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site