Individual
ROBERT RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 CONSTITUTION DR, ALEXANDRIA, LA 71303-3521
(318) 445-1196
Mailing address
PO BOX 13223, ALEXANDRIA, LA 71315-3223
(318) 445-1196
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11608
LA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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