NPI 1295081909

Swc Ruston, LLC

Organisation Gynecology Physician Ruston, LA

Practice location

Address: 1809 Northpointe Ln Suite 103, Ruston, LA 71270-3853
Phone: (318) 255-3223
Fax: (318) 255-3181

Authorised official

Name: Nathan Wayne Goodyear
Title: Medical Doctor
Phone: (318) 255-3223

Registered specialties

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence MD.201086 (LA)

Other Obstetrics & Gynecology providers in Louisiana →

Registry record

NPI: 1295081909
Entity type: Organization
NPI issued: 31 Jul 2012
Record last updated: 31 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.