Gabriel L Dersam in Lafayette - Pediatric Orthopaedic Surgery
Gabriel L Dersam - NPI 1487844650
Gabriel L Dersam is a Pediatric Orthopaedic Surgery in Lafayette, Louisiana. Gabriel L Dersam practices all healthcare services and medical treatments related to Pediatric 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 | Pediatric Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xp3100X |
| Licence No | 36136684 |
|
Definition: An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abn |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1033553 | LA | -- |
Post Comment/ Review Below
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 Pediatric Orthopaedic Surgery, and it falls under the taxonomy code 207Xp3100X, 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.
NPI Number: 1932102142
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