Jeffrey W Russell, MD

NPI #1659337988 in Fort Thomas, Kentucky

Provider Information

NPI Number: 1659337988
Entity Type: Individual
Name: Jeffrey W Russell, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Apr 25, 2006
Last Updated: Oct 22, 2012

Practice Location

Address: 85 N GRAND AVE
Address 2: 2ND FLOOR
City: Fort Thomas
State: Kentucky
ZIP Code: 41075-1793
Phone: (859) 781-2628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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