# PAUL VAN DEVENTER, M.D., APMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopaedic Clinic of Mandeville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902082175
- **Authorized official:** DR. PAUL MATTHEWS VAN DEVENTER M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (985) 674-1700

## Contact information

- **Practice address:** 2330 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-6402
- **Practice address phone:** (985) 674-1700
- **Practice address fax:** (985) 674-1722
- **Mailing address:** 2330 N CAUSEWAY BLVD, MANDEVILLE, LA 70471-6402
- **Mailing address phone:** (985) 674-1700
- **Mailing address fax:** (985) 674-1722

## Taxonomy

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

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 01/17/2008
