Organization
RUSS PARKS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL DANIEL PARKS MD (OWNER)
(334) 224-0892
Entity
Organization
Contact information
Practice address
726 N ACADIA RD STE 1000, THIBODAUX, LA 70301-5051
(985) 625-2200
(985) 625-2206
Mailing address
PO BOX 28, THIBODAUX, LA 70302-0028
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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