Individual
DR. RUSSELL SCOTT ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(205) 344-9992
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
13362
MS
2085R0001X
Radiation Oncology Physician
19443
AL
2085R0001X
Radiation Oncology Physician
20165
ND
2085R0001X
Radiation Oncology Physician
Primary
339029
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121517
—
MS
Enumeration date
02/26/2007
Last updated
03/07/2024
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