DR. Richard B Russell, D.O.

NPI #1144213240 in Pine Grove, Pennsylvania

Provider Information

NPI Number: 1144213240
Entity Type: Individual
Name: DR. Richard B Russell, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Aug 24, 2005
Last Updated: Nov 1, 2007

Practice Location

Address: 121 N TULPEHOCKEN ST
City: Pine Grove
State: Pennsylvania
ZIP Code: 17963-1217
Phone: (570) 345-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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