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Organization

WEST STATE ORTHOPEDICS & SPORT MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY R JENNINGS (OFFICE MANAGER)
(337) 392-2330
Entity
Organization

Contact information

Practice address
908 S 10TH ST STE A, LEESVILLE, LA 71446-4614
(337) 392-2330
(337) 392-2580
Mailing address
908 S 10TH ST STE A, LEESVILLE, LA 71446-4614
(337) 392-2330
(337) 392-2580

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/28/2007
Last updated
05/08/2018
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