Individual provider · Type 1 NPI

Gabriel L. Dersam, MD

Pediatric Orthopaedic Surgery Physician · Lafayette, LA

NPI number 1487844650 Active

Practice location

4704 Ambassador Caffery Pkwy Fl 1
Lafayette, LA 70508-6908

Fax (885) 431-6868

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Other practice locations

  • 1890 W Gauthier Rd Ste 115, Lake Charles, LA 70605-7180 · (337) 470-2907

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X103060 (MN)
Pediatric Orthopaedic Surgery Physician 207XP3100X036136684 (IL)
Pediatric Orthopaedic Surgery Physician Primary 207XP3100XMD.201862 (LA)

Pediatric Orthopaedic Surgery Physician: 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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About NPI 1487844650

Gabriel L. Dersam, MD's National Provider Identifier is 1487844650, issued on Jul 25, 2007. The primary taxonomy on file is Pediatric Orthopaedic Surgery Physician (207XP3100X), and the practice location is in Lafayette, LA. The record was last updated on Dec 19, 2022.