Tiffany S. Russell, BS

NPI #1134487960 in Little Rock, Arkansas

Provider Information

NPI Number: 1134487960
Entity Type: Individual
Name: Tiffany S. Russell, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: BS
Enumeration Date: Apr 30, 2012
Last Updated: Apr 30, 2012

Practice Location

Address: 5 REMINGTON DR
City: Little Rock
State: Arkansas
ZIP Code: 72204-8202
Phone: (501) 850-8788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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