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Individual

DR. JAMES RUSSELL SAMPLE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
532 W PITTSBURGH ST, GREENSBURG, PA 15601-2239
(724) 832-4358
Mailing address
800 FAIRVIEW RD, PITTSBURGH, PA 15238-1706
(412) 656-4557

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.008207
OH
207P00000X
Emergency Medicine Physician
Primary
OS013679
PA

Other

Enumeration date
02/27/2006
Last updated
08/06/2022
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