DR. Russell Stovall Tarver SR., M.D.

NPI #1417936444 in Trussville, Alabama

Provider Information

NPI Number: 1417936444
Entity Type: Individual
Name: DR. Russell Stovall Tarver SR., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jan 10, 2006
Last Updated: May 2, 2016

Practice Location

Address: 6218 FOX BR
City: Trussville
State: Alabama
ZIP Code: 35173-5235
Phone: (205) 661-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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