Deidre J. Russell, M.d.,llc

NPI #1003863846 in Selma, Alabama

Provider Information

NPI Number
1003863846
Entity Type
Organization
Organization Name
Deidre J. Russell, M.d.,llc
Primary Specialty
Specialist
Enumeration Date
May 27, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
203 VAUGHAN MEMORIAL DR
City
Selma
State
Alabama
ZIP Code
36701-6950
Phone
(334) 875-2134

Authorized Official

Name
DR. DEIDRE RUSSELL, MD
Title
PHYSICIAN
Phone
(334) 875-2134

Specialties & Taxonomy Codes

Specialty
Specialist

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