MR. Jim Russ
NPI #1295703098 in Notre Dame, Indiana
Provider Information
- NPI Number
- 1295703098
- Entity Type
- Individual
- Name
- MR. Jim Russ
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Mar 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 113 JOYCE CTR
- City
- Notre Dame
- State
- Indiana
- ZIP Code
- 46556-5678
- Phone
- (574) 631-3304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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