DR. W Randall Russell, M.D.

NPI #1104823475 in Wynnewood, Pennsylvania

Provider Information

NPI Number: 1104823475
Entity Type: Individual
Name: DR. W Randall Russell, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jul 1, 2005
Last Updated: Mar 27, 2015

Practice Location

Address: 100 E LANCASTER AVE
Address 2: SUITE 151 LANKENAU MOB EAST
City: Wynnewood
State: Pennsylvania
ZIP Code: 19096-3450
Phone: (484) 476-6492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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