Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL H VANNORMAN III, M.D.
ActiveRUSSELL H VANNORMAN III, M.D. is a 207WX0120X healthcare provider located in SHREVEPORT, Louisiana. NPI 1679576961 is currently active in the NPPES registry. Verify at CMS.
207WX0120X · SHREVEPORT, LA
Registration Details
- NPI Number
- 1679576961
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2005 (21.244404471752 yrs)
- Last Updated
- Apr 6, 2018
- Licenses
-
204870 (LA)204870 (LA)
Practice Information
- Address
-
1801 FAIRFIELD AVE STE 207SHREVEPORT, LA, 711014460Browse LA providers · Browse ZIP 71101
- Phone
- 3187035655
- Fax
- 3186065470
- Primary Specialty
-
207WX0120X
207WX0120X
- Additional Specialty
- 207WX0120X
Other 207WX0120X Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. MARITHE GABRIELLE GUTIERREZ-ROBERTS | MD | 1669835419 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.