Organization
WEST STATE ORTHOPEDICS AND SPORTS MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN PATRICK GRANGER M.D. (PHYSICIAN / OWNER)
(337) 392-2330
Entity
Organization
Contact information
Practice address
506 S 6TH ST, SUITE B, LEESVILLE, LA 71446-4442
(337) 392-2330
(337) 392-2580
Mailing address
506 S 6TH ST, SUITE B, LEESVILLE, LA 71446-4442
(337) 392-2330
(337) 392-2580
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11865R
LA
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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