RUSSELL D BURLISON

SHREVEPORT, LA
NPI1073517975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: LA  023583)
Enumeration Date2005-06-08
Last Update Date2020-12-11
Business Address
RUSSELL D BURLISON MD
1455 E BERT KOUNS LOOP
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4400
Mailing Address
RUSSELL D BURLISON MD
1455 E BERT KOUNS LOOP
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4400
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