Brad C Russell, P.A.

NPI #1487696415 in Bel Air, Maryland

Provider Information

NPI Number
1487696415
Entity Type
Individual
Name
Brad C Russell, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
P.A.
Enumeration Date
Jun 12, 2006
Last Updated
Jun 5, 2014

Practice Location

Address
520 UPPER CHESAPEAKE DR
Address 2
SUITE 306
ZIP Code
21014-4339
Phone
(410) 879-2006

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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