Plaza Orthopedic & Sports Medicine Clinic LLC

NPI #1922048735 in Hammond, Louisiana

Provider Information

NPI Number: 1922048735
Entity Type: Organization
Organization Name: Plaza Orthopedic & Sports Medicine Clinic LLC
Primary Specialty: Specialist
Enumeration Date: Jun 8, 2006
Last Updated: Feb 11, 2010

Practice Location

Address: 15781 PROFESSIONAL PLZ
City: Hammond
State: Louisiana
ZIP Code: 70403-1452
Phone: (985) 542-1533

Authorized Official

Name: JOHN L FAMBROUGH, M.D.
Title: PHYSICIAN PARTNER
Phone: (985) 542-1533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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