DR. Ricky Gordon Russell, MD

NPI #1053425009 in Jackson, Mississippi

Provider Information

NPI Number: 1053425009
Entity Type: Individual
Name: DR. Ricky Gordon Russell, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Aug 18, 2006
Last Updated: Jan 29, 2014

Practice Location

Address: 501 MARSHALL ST
Address 2: SUITE 603
City: Jackson
State: Mississippi
ZIP Code: 39202-1651
Phone: (601) 985-9120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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