Baton Rouge Orthopaedic Clinic

NPI #1164697983 in Gonzales, Louisiana

Provider Information

NPI Number: 1164697983
Entity Type: Organization
Organization Name: Baton Rouge Orthopaedic Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: BATON ROUGE ORTHOPAEDIC CLINIC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Apr 23, 2008
Last Updated: Aug 9, 2011

Practice Location

Address: 1023 W HIGHWAY 30
City: Gonzales
State: Louisiana
ZIP Code: 70737-5002
Phone: (225) 743-2366

Authorized Official

Name: MARY C BOWLIN
Title: CREDENTIALS COORDINATOR
Phone: (985) 974-0422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Prosthetic/Orthotic Supplier	335E00000X
Orthopaedic Surgery	207X00000X	Primary

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