Individual
DR. ROBERT IRVING RUSSELL
Active
Individual
DR. ROBERT IRVING RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
94
AL
213ES0131X
Foot Surgery Podiatrist
Primary
94
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1201219
UNITED HEALTHCARE
AL
01
—
697685
UHC GROUP
AL
Enumeration date
10/10/2005
Last updated
02/28/2013
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