Telly R Russell, MD

NPI #1780978338 in Maple Valley, Washington

Provider Information

NPI Number: 1780978338
Entity Type: Individual
Name: Telly R Russell, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 31, 2011
Last Updated: Mar 26, 2020

Practice Location

Address: 26458 MAPLE VALLEY BLACK DIAMOND RD SE STE A
City: Maple Valley
State: Washington
ZIP Code: 98038-8350
Phone: (425) 690-3465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Family Medicine	207Q00000X	Primary

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