DR. Stephanie Jane Russ, DO

NPI #1629239355 in Pendleton, Indiana

Provider Information

NPI Number: 1629239355
Entity Type: Individual
Name: DR. Stephanie Jane Russ, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 25, 2008
Last Updated: Oct 9, 2025

Practice Location

Address: 200 ENTERPRISE DR STE A
City: Pendleton
State: Indiana
ZIP Code: 46064-9038
Phone: (765) 298-4567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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