Russell J Proctor MD LLC

NPI #1952485658 in Orange Beach, Alabama

Provider Information

NPI Number: 1952485658
Entity Type: Organization
Organization Name: Russell J Proctor MD LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 25, 2006
Last Updated: Jun 21, 2018

Practice Location

Address: 4223 ORANGE BEACH BLVD
Address 2: STE. A
City: Orange Beach
State: Alabama
ZIP Code: 36561-3459
Phone: (251) 981-8713

Authorized Official

Name: DR. RUSSELL J PROCTOR, MD
Title: OWNER
Phone: (251) 974-1550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Internal Medicine	207R00000X	Primary

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