Individual
PAUL JOSEPH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 CAMPUS BLVD, SUITE 400, WINCHESTER, VA 22601-2872
(540) 667-1727
(540) 722-3373
Mailing address
190 CAMPUS BLVD, SUITE 400, WINCHESTER, VA 22601-2872
(540) 667-1727
(540) 722-3373
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101046689
VA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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