RUSSELL WAYNE TYNES

SHREVEPORT, LA
NPI1851323810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  016884)
Enumeration Date2006-07-07
Last Update Date2009-04-29
Business Address
-- RUSSELL WAYNE TYNES MD
460 ASHLEY RIDGE BLVD 500
SHREVEPORT, LA 71106-7228
Phone number: 318-212-1610
Mailing Address
-- RUSSELL WAYNE TYNES MD
460 ASHLEY RIDGE BLVD 500
SHREVEPORT, LA 71106-7228
Phone number: 318-212-1610
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