Russell J Wardlaw, MD

NPI #1376734210 in Hammond, Louisiana

Provider Information

NPI Number: 1376734210
Entity Type: Individual
Name: Russell J Wardlaw, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Aug 6, 2007
Last Updated: Apr 23, 2013

Practice Location

Address: 16061 DOCTORS BLVD
Address 2: SUITE B
City: Hammond
State: Louisiana
ZIP Code: 70403-1499
Phone: (985) 542-1334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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