Gabriel L Dersam in Lafayette - Orthopaedic Surgery

Gabriel L Dersam - NPI 1487844650

Gabriel L Dersam is a Orthopaedic Surgery in Lafayette, Louisiana. Gabriel L Dersam practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Gabriel L Dersam is 1487844650. The last update date is 2022-12-19.

Gabriel L Dersam's current location address is 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, Louisiana. You can contact this provider via phone number 3374705920 and fax number 8854316868. The mailing address for Gabriel L Dersam is 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Gabriel L Dersam
Address 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, Louisiana
Phone Number 3374705920
Fax Number 8854316868
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1487844650
Provider Enumeration Date 2007-07-25
Last Updated Date 2022-12-19

Provider Mailing Address Detail

Address 4704 Ambassador Caffery Pkwy Fl 1
City Lafayette
State Louisiana (LA)
Post Code 705086908
Phone Number 3374705920
Fax Number 8854316868

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 103060
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1033553 LA --

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FAQs about Gabriel L Dersam

What is the Gabriel L Dersam's 1487844650?

The Gabriel L Dersam's NPI (National Provider Identifier) Number is 1487844650. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Gabriel L Dersam's facilities are geographically located?

The facilities of Gabriel L Dersam are physically situated at the following location: 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, LA, 705086908.

What is the Gabriel L Dersam's area of specialization and corresponding taxonomy classification?

The Gabriel L Dersam's specialty field is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their specialties.

On what date did Gabriel L Dersam receive its 1487844650 assignment from the Centers for Medicare & Medicaid Services?

The Gabriel L Dersam was assigned its 1487844650 on 2007-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Gabriel L Dersam most recently updated?

The details pertaining to the Gabriel L Dersam, including its address, specialty, and other relevant information, were last refreshed on 2022-12-19.

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