Russell Stackhouse MD PA

NPI #1538655014 in Fernandina, Florida

Provider Information

NPI Number: 1538655014
Entity Type: Organization
Organization Name: Russell Stackhouse MD PA
Primary Specialty: Ophthalmology
Enumeration Date: Jul 8, 2018
Last Updated: Dec 13, 2022

Practice Location

Address: 6 S 14TH ST
City: Fernandina
State: Florida
ZIP Code: 32034-3212
Phone: (904) 261-5741

Authorized Official

Name: NICHOLE RENE BARNETT
Title: PRACTICE ADMINISTRATOR
Phone: (904) 261-5741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Foot and Ankle Surgery — Foot and Ankle Surgery	207XX0004X
Ophthalmology	207W00000X	Primary

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James Russell Keller Stackhouse, MD	Ophthalmology	Fernandina	AI Deep Dive
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