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Dr. Robert C. Russell, MD
Specialist in Minden, Louisiana
NPI 1386671543

Robert C. Russell is a Specialist based in Minden, LA. Robert C. Russell practices in Minden, LA and has the professional credentials of MD. The NPI Number for Robert C. Russell is 1386671543 and holds a License No. 020174 (Louisiana).

The current practice location address for Robert C. Russell is 431 Homer Rd, Minden, LA and can be reached out via phone at 318-377-8855 and via fax at 318-371-1170.

Location: 431 Homer Rd, Minden, LA, 71055-2933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386671543
Provider Name
Robert C. Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
431 Homer Rd, Minden, LA, 71055-2933
Phone Number
318-377-8855
Fax Number
318-371-1170
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932132 05 LA
institution
Provider Business Practice Location Address Details
Address
431 Homer Rd
City
Minden
State
Louisiana
Zip
71055-2933
Phone Number
318-377-8855
Fax Number
318-371-1170
person
Provider Business Mailing Address Details
Address
431 Homer Rd
City
Minden
State
Louisiana
Zip
71055-2933
Phone Number
318-377-8855
Fax Number
318-371-1170
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
020174 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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