Organization
ORTHOPAEDIC SPORTS SPECIALISTS OF LOUISIANA LLC
Active
Other names
OrthoLA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W ELIAS M.D. (OWNER/OPERATOR)
(985) 625-2200
Entity
Organization
Contact information
Practice address
726 N ACADIA RD STE 1000, THIBODAUX, LA 70301-5051
(985) 625-2200
(985) 625-2206
Mailing address
726 N ACADIA RD STE 1000, THIBODAUX, LA 70301-5051
(985) 625-2200
(985) 625-2206
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821049743
DR'S INDIVIDUAL NPI
LA
Enumeration date
07/12/2007
Last updated
10/16/2019
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