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Individual
DR. RUSSELL O DAVIS III
Active
Individual
DR. RUSSELL O DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
HOO69049
MD
207R00000X
Internal Medicine Physician
MD31454
DC
Other
Enumeration date
10/03/2006
Last updated
04/26/2024
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