# ZACHARY BONE JOINT & FOOT CLINIC

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

## Provider details

- **NPI number:** 1255570792
- **Authorized official:** DR. THEODORE KNATT M.D. (ORTHOPEDIC SURGEON)
- **Authorized official phone:** (225) 938-9438

## Contact information

- **Practice address:** 7855 HOWELL BLVD., 200, BATON ROUGE, LA 70874
- **Practice address phone:** (225) 938-9438
- **Practice address fax:** (225) 454-6004
- **Mailing address:** PO BOX 74570, BATON ROUGE, LA 70874-4570
- **Mailing address phone:** (225) 938-9438
- **Mailing address fax:** (225) 454-6004

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2009
- **Last updated:** 02/06/2009