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Individual
RUSSELL NEWKIRK III
Active
Individual
RUSSELL NEWKIRK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207N00000X
Dermatology Physician
Primary
0101273050
VA
208D00000X
General Practice Physician
Primary
0101273050
VA
Other
Enumeration date
01/11/2020
Last updated
08/19/2026
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