Robert T Russell, M.D.
NPI #1992813174 in Bloomington, Illinois
Provider Information
- NPI Number
- 1992813174
- Entity Type
- Individual
- Name
- Robert T Russell, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Otolaryngology
- Credential
- M.D.
- Enumeration Date
- Aug 28, 2006
- Last Updated
- Oct 20, 2015
Practice Location
- Address
- 1404 EASTLAND DR STE 209
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-7904
- Phone
- (309) 662-3277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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