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Individual

DR. RUTHANNE RAUSCHENBACH GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8120 MAIN ST, SUITE 300, HOUMA, LA 70360-3403
(985) 872-6405
(985) 876-1338
Mailing address
8120 MAIN ST, SUITE 300, HOUMA, LA 70360-3403
(985) 872-6405
(985) 876-1338

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
014736
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316539
LA
Enumeration date
08/26/2005
Last updated
01/24/2014
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