# ORTHOPAEDIC CLINIC OF MONROE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Louisiana Orthopaedic and Sports Medicine Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144266511
- **Authorized official:** MR. KEVIN GOLDMAN (CFO)
- **Authorized official phone:** (318) 323-8451

## Contact information

- **Practice address:** 1501 LOUISVILLE AVE, MONROE, LA 71201-6025
- **Practice address phone:** (318) 323-8451
- **Practice address fax:** (318) 361-2613
- **Mailing address:** 1501 LOUISVILLE AVE, MONROE, LA 71201-6025
- **Mailing address phone:** (318) 323-8451
- **Mailing address fax:** (318) 361-2613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 11/18/2014