DR. Russell Eugene Fothergill, M.D.

NPI #1063472504 in Temple, Texas

Provider Information

NPI Number: 1063472504
Entity Type: Individual
Name: DR. Russell Eugene Fothergill, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: M.D.
Enumeration Date: Mar 27, 2006
Last Updated: Dec 8, 2021

Practice Location

Address: 1713 SW H K DODGEN LOOP STE 100
City: Temple
State: Texas
ZIP Code: 76502-1836
Phone: (254) 771-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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