Organization
THE WOMEN'S CLINIC, AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C RUSSELL M.D. (PRESIDENT)
(318) 377-8855
Entity
Organization
Contact information
Practice address
431 HOMER RD, MINDEN, LA 71055-2933
(318) 377-8855
(318) 377-8852
Mailing address
431 HOMER RD, MINDEN, LA 71055-2933
(318) 377-8855
(318) 377-8852
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1133850
—
LA
05
—
1187879
—
LA
05
—
1457418
—
LA
05
—
1567094
—
LA
05
—
1932132
—
LA
Enumeration date
02/21/2006
Last updated
08/12/2011
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