Organization
ORTHOPAEDIC RECONSTRUCTIVE SUB-SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E FENN MD (OWNER / OPERATOR)
(337) 948-8556
Entity
Organization
Contact information
Practice address
1233 WAYNE GILMORE CIR, SUITE 250-A, OPELOUSAS, LA 70570-6405
(337) 948-8556
(337) 948-6881
Mailing address
1233 WAYNE GILMORE CIR, SUITE 250-A, OPELOUSAS, LA 70570-6405
(337) 948-8556
(337) 948-6881
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
200825
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17200006687
DR'S FENN'S NPI
LA
Enumeration date
07/28/2008
Last updated
07/28/2008
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