Organization
BONE & JOINT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J GALLAGHER MD (SECRETARY)
(504) 347-5421
Entity
Organization
Contact information
Practice address
4633 WICHERS DR, MARRERO, LA 70072-3002
(504) 347-5421
(504) 378-9331
Mailing address
2600 BELLE CHASSE HWY, SUITE I, TERRYTOWN, LA 70056-7156
(504) 391-7670
(504) 378-9439
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222340001
MEDICARE NSC
LA
05
—
1109347
—
LA
Enumeration date
07/20/2005
Last updated
05/08/2008
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