Jason Thomas Russell

NPI #1619257763 in Memphis, Tennessee

Provider Information

NPI Number: 1619257763
Entity Type: Individual
Name: Jason Thomas Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 21, 2011
Last Updated: Aug 21, 2011

Practice Location

Address: 847 MONROE AVE
Address 2: SUITE 226
City: Memphis
State: Tennessee
ZIP Code: 38103-4901
Phone: (901) 448-6036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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