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Individual
DR. RUSSELL SCOTT TRAISTER
Active
Individual
DR. RUSSELL SCOTT TRAISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
201600100
NC
207K00000X
Allergy & Immunology Physician
Primary
MT193164
PA
207R00000X
Internal Medicine Physician
MT193164
PA
Other
Enumeration date
06/19/2008
Last updated
08/27/2025
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