# RUSSELL J SALOOM PROF MED CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Russell J Saloom MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538169149
- **Authorized official:** RUSSELL JAMES SALOOM MD (OWNER/PRESIDENT)
- **Authorized official phone:** (225) 766-1110

## Contact information

- **Practice address:** 9237 BLUEBONNET BLVD, BATON ROUGE, LA 70810-2808
- **Practice address phone:** (225) 766-1110
- **Practice address fax:** (225) 766-1112
- **Mailing address:** PO BOX 82930, BATON ROUGE, LA 70884-2930
- **Mailing address phone:** (225) 766-1110
- **Mailing address fax:** (225) 766-1112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 018298 | LA | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 12/19/2007