Individual
DR. COURTNEY L RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3939 HOUMA BOULEVARD STE 18, METAIRIE, LA 70006-2921
(504) 455-0093
(504) 454-3964
Mailing address
3939 HOUMA BLVD STE 18, METAIRIE, LA 70006-2921
(504) 455-0093
(504) 454-3964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
010154
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118826
—
LA
Enumeration date
04/12/2007
Last updated
07/08/2007
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