Russell H Blocker, PAAA

NPI #1013046374 in Kennesaw, Georgia

Provider Information

NPI Number: 1013046374
Entity Type: Individual
Name: Russell H Blocker, PAAA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: PAAA
Enumeration Date: Mar 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1640 AIRPORT RD NW
Address 2: STE. 110
City: Kennesaw
State: Georgia
ZIP Code: 30144-7038
Phone: (678) 202-2074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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