Individual
DR. RUSSELL R RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5620 READ BLVD, NEW ORLEANS, LA 70127-3106
(504) 592-6600
(504) 592-6438
Mailing address
6901 CANAL BLVD, NEW ORLEANS, LA 70124-3407
(504) 592-6437
(504) 592-6438
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD205273
LA
Other
Enumeration date
03/24/2009
Last updated
03/25/2017
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