Organization
ORTHOPAEDIC & SPORTS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE FARRELL (OFFICE MANAGER)
(225) 743-2000
Entity
Organization
Contact information
Practice address
1014 W SAINT CLARE BLVD, SUITE 1020, GONZALES, LA 70737-5027
(225) 743-2000
(225) 743-2010
Mailing address
1014 W SAINT CLARE BLVD, SUITE 1020, GONZALES, LA 70737-5027
(225) 743-2000
(225) 743-2010
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
08/15/2011
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