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Gabriel L Dersam, MD
Pediatric Orthopedic Surgery Physician in Lafayette, Louisiana
NPI 1487844650

Gabriel L Dersam is a Pediatric Orthopedic Surgery Physician based in Baton Rouge, LA and is specialized in Pediatric Orthopedic Surgery. Gabriel L Dersam practices in Lafayette, LA and has the professional credentials of MD. The NPI Number for Gabriel L Dersam is 1487844650 and holds a License No. 103060 (Louisiana).

The current practice location address for Gabriel L Dersam is 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, LA and can be reached out via phone at 337-470-5920 and via fax at 885-431-6868.

Location: 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, LA, 70816-6038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487844650
Provider Name
Gabriel L Dersam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4704 Ambassador Caffery Pkwy Fl 1, Lafayette, LA, 70816-6038
Phone Number
337-470-5920
Fax Number
885-431-6868
Provider Enumeration Date
07/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033553 05 LA
institution
Provider Business Practice Location Address Details
Address
4704 Ambassador Caffery Pkwy Fl 1
City
Lafayette
State
Louisiana
Zip
70508-6908
Phone Number
337-470-5920
Fax Number
885-431-6868
person
Provider Business Mailing Address Details
Address
4704 Ambassador Caffery Pkwy Fl 1
City
Lafayette
State
Louisiana
Zip
70508-6908
Phone Number
337-470-5920
Fax Number
885-431-6868
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
036136684 (Illinois)
Definition
An orthopedic 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 orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Pediatric Orthopedic Surgery
Taxonomy
207XP3100X
License No.
103060 (Minnesota)
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 abnormalities (limping); bone and joint infections; broken bones.
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