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Individual

DR. RUSSELL RONALD MONROE JR.

Active
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Individual

DR. RUSSELL RONALD MONROE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G76011
CA
283Q00000X
Psychiatric Hospital
12289
SC
283Q00000X
Psychiatric Hospital
G76011
CA

Other

Enumeration date
02/28/2007
Last updated
07/07/2020
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