Individual
GORDON J RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MEADOWCREST ST, SUITE 160, GRETNA, LA 70056-5255
(504) 391-7620
(504) 391-7524
Mailing address
3725 LAKE MICHAEL CT, GRETNA, LA 70056-8326
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
015208
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1329495
—
LA
Enumeration date
07/11/2005
Last updated
02/03/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us