# METAIRIE ORTHOPEDICS & SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184288128
- **Authorized official:** DR. ROBERT D BOSTICK III MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (504) 541-5800

## Contact information

- **Practice address:** 3001 DIVISION ST, STE 204, METAIRIE, LA 70002-5854
- **Practice address phone:** (504) 541-5800
- **Practice address fax:** (504) 541-5801
- **Mailing address:** 3001 DIVISION ST STE 204, STE 204, METAIRIE, LA 70002-5855
- **Mailing address phone:** (504) 541-5800
- **Mailing address fax:** (504) 541-5801

## Taxonomy

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

## Other

- **Enumeration date:** 04/25/2019
- **Last updated:** 09/28/2022