Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Westside Dermatology Associates a Professional Medical Corporation

Organization Specialist · NPI 1588725808

Westside Dermatology Associates a Professional Medical Corporation is a Specialist in Gretna, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006

Practice location Address checks out

120 Meadowcrest St Ste 160
Gretna, LA 70056-5255
Phone: (504) 391-7525
Fax: (504) 391-7624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 015208 (LA)

Record details

NPI number1588725808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gordon Russo — Physician · (504) 391-7525
NPI enumeratedDecember 12, 2006
Last updated in NPPESMarch 4, 2010
Mailing address120 Meadowcrest St, Suite 160, Gretna, LA 70056-5255

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