Organization
MOON ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY P RICHOUX (OFFICE MANAGER)
(504) 391-9141
Entity
Organization
Contact information
Practice address
139 BELLEMEADE BLVD, GRETNA, LA 70056-7108
(504) 391-9141
(504) 391-0124
Mailing address
139 BELLEMEADE BLVD, GRETNA, LA 70056-7108
(504) 391-9141
(504) 391-0124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
LA
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1974323
—
LA
Enumeration date
11/15/2007
Last updated
08/14/2013
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