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Individual

MISS WILLIAM E RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7245 RICHARDS DR, BATON ROUGE, LA 70809-1541
(225) 603-1450
Mailing address
3401 NORTH BLVD, BATON ROUGE, LA 70806-3743
(225) 387-7280
(225) 387-6581

Taxonomy

Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
12546R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1534897
LA
Enumeration date
06/09/2006
Last updated
09/19/2023
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