Individual
DR. RUSSELL TODD RAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3524 STATE ROUTE 160, GALLIPOLIS, OH 45631-9681
(740) 446-2236
(740) 446-9883
Mailing address
3524 STATE ROUTE 160, GALLIPOLIS, OH 45631-9681
(740) 446-2236
(740) 446-9883
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4488
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0995722
—
OH
Enumeration date
08/31/2006
Last updated
02/20/2009
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