WESTSIDE DERMATOLOGY ASSOCIATES A PROFESSIONAL MEDICAL CORPORATION

GRETNA, LA
NPI1588725808
Entity TypeOrganization
Authorized ContactGORDON J RUSSO
Physician
504-391-7525
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: LA  015208)
Enumeration Date2006-12-12
Last Update Date2010-03-04
Business Address
WESTSIDE DERMATOLOGY ASSOCIATES A PROFESSIONAL MEDICAL CORPORATION
120 MEADOWCREST ST SUITE 160
GRETNA, LA 70056-5255
Phone number: 504-391-7525
Mailing Address
WESTSIDE DERMATOLOGY ASSOCIATES A PROFESSIONAL MEDICAL CORPORATION
120 MEADOWCREST ST SUITE 160
GRETNA, LA 70056-5255
Phone number: 504-391-7525
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