SearchLouisiana171M00000X

Randall Russ

NPI 1699134262 · on the registry since 2016 · sole proprietor

Practice

Address
32990 Bowie Street
White Castle, LA 70788
Phone
(225) 716-2330

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
Sex
Male
Record last updated
2019-05-15

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