DR. Russell W Nelligan, MD

NPI #1255542767 in St Augustine, Florida

Provider Information

NPI Number: 1255542767
Entity Type: Individual
Name: DR. Russell W Nelligan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: May 25, 2007
Last Updated: May 2, 2013

Practice Location

Address: 1400 US HIGHWAY 1 S
City: St Augustine
State: Florida
ZIP Code: 32084-4211
Phone: (904) 829-2286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Ophthalmology	207W00000X	Primary

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