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
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-4625
- Phone
- (703) 490-5275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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