Organization
RED STICK ORTHOPEDICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLON B MOORE B SC CO (OWNER/ PRESIDENT)
(225) 928-9939
Entity
Organization
Contact information
Practice address
7754 FLORIDA BLVD, BATON ROUGE, LA 70806-4706
(225) 928-9939
(225) 928-7388
Mailing address
7754 FLORIDA BLVD, BATON ROUGE, LA 70806-4706
(225) 928-9939
(225) 928-7388
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121908
—
LA
Enumeration date
03/09/2006
Last updated
09/08/2022
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