Individual
RUSSELL LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4905 FOLSE DR, METAIRIE, LA 70006-1118
(504) 455-4883
Mailing address
4905 FOLSE DR, METAIRIE, LA 70006-1118
(504) 455-4883
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD010879
LA
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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