Individual
MR. ALEXANDER BREVARD RUSSELL, JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 N BINKLEY ST, SUITE 101, SOLDOTNA, AK 99669-7500
(907) 714-4111
(844) 912-3953
Mailing address
245 N BINKLEY ST, SUITE 101, SOLDOTNA, AK 99669-7500
(907) 714-4112
(907) 262-2821
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
010653
GA
208000000X
Pediatrics Physician
Primary
786
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD0786
—
AK
Enumeration date
02/03/2006
Last updated
07/17/2020
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