DR. Russell Hale Mattern, OD

NPI #1003134248 in Woodbridge, Virginia

Provider Information

NPI Number
1003134248
Entity Type
Individual
Name
DR. Russell Hale Mattern, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
May 12, 2010
Last Updated
May 12, 2010

Practice Location

Address
2700 POTOMAC MILLS CIR
Address 2
SUITE 207
ZIP Code
22192-4625
Phone
(703) 490-5275

Specialties & Taxonomy Codes

Specialty
Optometrist

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