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Individual
RUSSELL L ELLIS
Active
Individual
RUSSELL L ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
00022020
AL
Other
Enumeration date
11/15/2006
Last updated
07/30/2025
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