Organization
RUSSELL HARMS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARMS DPM (OWNER)
(812) 448-9290
Entity
Organization
Contact information
Practice address
1214 E NATIONAL AVE, SUITE 130, BRAZIL, IN 47834-2700
(812) 448-9290
(812) 448-9296
Mailing address
1214 E NATIONAL AVE, SUITE 130, BRAZIL, IN 47834-2700
(812) 448-9290
(812) 448-9296
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
41000207
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200938770
—
IN
Enumeration date
12/16/2008
Last updated
03/22/2010
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