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Organization
BONE & JOINT CLINIC
Active
Organization
BONE & JOINT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GALLAGHER MD (SECRETARY)
(504) 347-5421
Entity
Organization
Contact information
Practice address
2600 BELLE CHASSE HWY, SUITE I, TERRYTOWN, LA 70056-7156
(504) 391-7670
Mailing address
PO BOX 848766, BOSTON, MA 02284-8766
(504) 391-7670
(504) 378-9439
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
NULL
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109347
—
LA
Enumeration date
10/25/2006
Last updated
04/09/2009
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