Individual
DR. RUSSELL B O'STEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1025 W TUNNEL BLVD, HOUMA, LA 70360-4049
(985) 876-5790
(985) 876-9371
Mailing address
1025 W TUNNEL BLVD, HOUMA, LA 70360-4049
(985) 876-5790
(985) 876-9371
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
880
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1954357
—
LA
Enumeration date
07/07/2006
Last updated
07/08/2007
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