# BONE & JOINT CLINIC OF BATON ROUGE, INC A PROFESSIONAL MEDICAL CORP

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

## Provider details

- **NPI number:** 1306835079
- **Authorized official:** MR. MARK W LEVERT JR. (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (225) 766-0050

## Contact information

- **Practice address:** 7301 HENNESSY BLVD, SUITE 200, BATON ROUGE, LA 70808-4384
- **Practice address phone:** (225) 766-0050
- **Practice address fax:** (225) 766-1499
- **Mailing address:** PO BOX 98035, BATON ROUGE, LA 70898-9035
- **Mailing address phone:** (225) 766-0050
- **Mailing address fax:** (225) 766-1499

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 01/16/2023