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Individual

RUSSELL T COURTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 473-3000
Mailing address
211 4TH ST, BOX 30135, ALEXANDRIA, LA 71301-8421
(318) 448-4440
(318) 473-4340

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
016173
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1364193
LA
Enumeration date
08/26/2005
Last updated
10/17/2007
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