GORDON J RUSSO

GRETNA, LA
NPI1083612469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207NS0135X Dermatology Procedural Dermatology
(Licence: LA  015208)
Enumeration Date2005-07-11
Last Update Date2010-02-03
Business Address
GORDON J RUSSO MD
120 MEADOWCREST ST SUITE 160
GRETNA, LA 70056-5255
Phone number: 504-391-7620
Mailing Address
GORDON J RUSSO MD
3725 LAKE MICHAEL CT
GRETNA, LA 70056-8326
Phone number: