Organization
ORTHOPAEDIC AND SPORTS MEDICINE SPECIALIST
Active
Other names
Active Orthopaedic Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID F POPE MD (PRESIDENT OF CORP.)
(318) 443-9191
Entity
Organization
Contact information
Practice address
224 PECAN PARK AVE, ALEXANDRIA, LA 71303-3308
(318) 427-7856
(318) 443-5379
Mailing address
224 PECAN PARK AVE, ALEXANDRIA, LA 71303-3308
(318) 427-7856
(318) 443-5379
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133936
—
LA
Enumeration date
12/13/2006
Last updated
01/15/2013
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