Russellville Physician Practices LLC

NPI #1528377983 in Russellville, Alabama

Provider Information

NPI Number: 1528377983
Entity Type: Organization
Organization Name: Russellville Physician Practices LLC
Primary Specialty: Surgery
Enumeration Date: Oct 4, 2010
Last Updated: Oct 4, 2010

Practice Location

Address: 523 GANDY ST NE
Address 2: SUITE E
City: Russellville
State: Alabama
ZIP Code: 35653-1961
Phone: (256) 331-1449

Authorized Official

Name: MR. DONALD BIVACCA
Title: PRESIDENT
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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DR. John Albert Indovina JR., M.D.	Surgery	Russellville	AI Deep Dive
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