Shane T Russell, MD

NPI #1174558803 in Dayton, Ohio

Provider Information

NPI Number: 1174558803
Entity Type: Individual
Name: Shane T Russell, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Jul 11, 2006
Last Updated: Dec 3, 2021

Practice Location

Address: 6780 LOOP RD
City: Dayton
State: Ohio
ZIP Code: 45459-2161
Phone: (937) 434-6344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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