Organization
INTEGRATED TECHNICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL PACKARD M.D. (PHYSICIAN)
(888) 395-4007
Entity
Organization
Contact information
Practice address
2436 N FEDERAL HWY, #392, LIGHTHOUSE POINT, FL 33064-6854
(888) 395-4007
(888) 395-3941
Mailing address
2436 N FEDERAL HWY, #392, LIGHTHOUSE POINT, FL 33064-6854
(888) 395-4007
(888) 395-3941
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
A24773
TX
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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