Robert C Russell M D S C

NPI #1396835641 in Springfield, Illinois

Provider Information

NPI Number: 1396835641
Entity Type: Organization
Organization Name: Robert C Russell M D S C
Primary Specialty: Surgery
Enumeration Date: Oct 14, 2006
Last Updated: Mar 21, 2013

Practice Location

Address: 320 E CARPENTER ST
City: Springfield
State: Illinois
ZIP Code: 62702-5185
Phone: (217) 523-0808

Authorized Official

Name: ROBERT C RUSSELL, MD
Title: OWNERPRESIDEN
Phone: (217) 523-0808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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