Individual
DR. PHILIP CHRISTIAN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(401) 497-1280
Mailing address
25 JUNE ST, SANFORD, ME 04073-2621
(401) 490-7004
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD11724
RI
2084P0800X
Psychiatry Physician
Primary
MD26740
ME
Other
Enumeration date
08/31/2006
Last updated
09/18/2023
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