Individual provider · Type 1 NPI
Gordon J. Russo, MD
Procedural Dermatology Physician · Gretna, LA
Practice location
120 Meadowcrest St, Suite 160
Gretna, LA 70056-5255
Fax (504) 391-7524
Mailing address
3725 Lake Michael Ct
Gretna, LA 70056-8326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Procedural Dermatology Physician Primary | 207NS0135X | 015208 (LA) |
Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…
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About NPI 1083612469
Gordon J. Russo, MD's National Provider Identifier is 1083612469, issued on Jul 11, 2005. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Gretna, LA. The record was last updated on Feb 3, 2010.