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Russell Semon, L.P.C

NPI 1235310178 · on the registry since 2007

Practice

Address
10008 Ferry Creek Dr
Shreveport, LA 71106
Phone
(318) 773-0103
Fax
(318) 676-5086

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana