Russell J Wardlaw is a Specialist in Hammond, Louisiana. Russell J Wardlaw practices all healthcare services and medical treatments related to Specialist. The NPI Number for Russell J Wardlaw is 1376734210. The last update date is 2013-04-23.
Russell J Wardlaw's current location address is 16061 Doctors Blvd, Hammond, Louisiana. You can contact this provider via phone number 9855421334 and fax number 9858939594. The mailing address for Russell J Wardlaw is 16061 Doctors Blvd, Hammond, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell J Wardlaw |
|---|---|
| Address | 16061 Doctors Blvd, Hammond, Louisiana |
| Phone Number | 9855421334 |
| Fax Number | 9858939594 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376734210 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2013-04-23 |
Provider Mailing Address Detail
| Address | 16061 Doctors Blvd |
|---|---|
| City | Hammond |
| State | Louisiana (LA) |
| Post Code | 704031499 |
| Phone Number | 9855421334 |
| Fax Number | 9858939594 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 26005 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1056529 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Russell J Wardlaw by the Centers for Medicare & Medicaid Services?
The Russell J Wardlaw has been issued the NPI (National Provider Identifier) 1376734210. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Russell J Wardlaw?
The Russell J Wardlaw is situated at 16061 Doctors Blvd, in the city of Hammond, state of LA, with the zip code 704031499.
What is Russell J Wardlaw's area of expertise and its corresponding taxonomy classification?
The Russell J Wardlaw's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376734210 to Russell J Wardlaw?
The Centers for Medicare & Medicaid Services originally issued the 1376734210 to Russell J Wardlaw on 2007-08-06.
As of what date were the details related to Russell J Wardlaw most recently updated or revised?
The information pertaining to Russell J Wardlaw, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-23.