DR. Ryan D Russell, O.D.

NPI #1831180900 in Tupelo, Mississippi

Provider Information

NPI Number: 1831180900
Entity Type: Individual
Name: DR. Ryan D Russell, O.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 28, 2005
Last Updated: Jul 31, 2017

Practice Location

Address: 610 BRUNSON DR
City: Tupelo
State: Mississippi
ZIP Code: 38801-4947
Phone: (662) 844-7211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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