Individual
RUSSELL E. CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3471
(814) 375-3472
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3471
(814) 375-3472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-068835-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000812953
BLUE CROSS
PA
05
—
0017534910001
—
PA
Enumeration date
08/09/2006
Last updated
04/14/2014
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