# BONE & JOINT CLINIC

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

## Provider details

- **NPI number:** 1659455673
- **Authorized official:** DR. DANIEL GALLAGHER MD (SECRETARY)
- **Authorized official phone:** (504) 347-5421

## Contact information

- **Practice address:** 2600 BELLE CHASSE HWY, SUITE I, TERRYTOWN, LA 70056-7156
- **Practice address phone:** (504) 391-7670
- **Mailing address:** PO BOX 848766, BOSTON, MA 02284-8766
- **Mailing address phone:** (504) 391-7670
- **Mailing address fax:** (504) 378-9439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 04/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1109347 | — | LA |