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Organization
BATON ROUGE ORTHOPAEDIC CLINIC
Active
Organization
BATON ROUGE ORTHOPAEDIC CLINIC
Active
Parent organization
BATON ROUGE ORTHOPAEDIC CLINIC
Other names
Ascension Orthopaedic Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BATON ROUGE ORTHOPAEDIC CLINIC
Authorized official
MARY C BOWLIN (CREDENTIALS COORDINATOR)
(985) 974-0422
Entity
Organization
Contact information
Practice address
1023 W HIGHWAY 30, GONZALES, LA 70737-5002
(225) 743-2366
(225) 743-2369
Mailing address
8080 BLUEBONNET BLVD, SUITE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 408-7984
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1793418
—
LA
Enumeration date
04/23/2008
Last updated
08/09/2011
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