IndividualActive
Russell Anderson, MD
NPI 1013043009 · Radiation Oncology Physician · Shreveport, LA
Provider details
- NPI number
- 1013043009
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20165 (ND)
Mailing address
1512 W Kirby Pl
Shreveport, LA 71103-3822
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2024-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.