GORDON RUSSO, MD
Dermatology - Procedural Dermatology
Active
Individual
NPI: 1083612469
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology - Procedural Dermatology | 207NS0135X | Yes | 015208 (LA) |
Frequently Asked Questions
NPI 1083612469 is the National Provider Identifier for GORDON RUSSO, MD, a Dermatology - Procedural Dermatology provider located in Gretna, LA. This NPI was enumerated on July 11, 2005.
GORDON RUSSO, MD practices at 120 MEADOWCREST ST, SUITE 160, Gretna, LA 70056.
Quick Facts
- NPI
- 1083612469
- Type
- Individual
- Enumerated
- Jul 11, 2005
- Last Updated
- Feb 3, 2010
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