Russell B Caldwell MD PC

NPI #1962500181 in Bellevue, Washington

Provider Information

NPI Number: 1962500181
Entity Type: Organization
Organization Name: Russell B Caldwell MD PC
Primary Specialty: Dermatology
Enumeration Date: Sep 20, 2006
Last Updated: Jul 7, 2011

Practice Location

Address: 1810 116TH AVE NE
Address 2: SUITE 100
City: Bellevue
State: Washington
ZIP Code: 98004-3058
Phone: (425) 455-2276

Authorized Official

Name: RUSSELL B CALDWELL, MD
Title: PRESIDENT/OWNER
Phone: (425) 454-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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