Individual
DR. ROBERT IRVING RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1717 11TH AVE SOUTH, SUITE 402, BIRMINGHAM, AL 35205-4700
(205) 933-9595
(205) 933-5250
Mailing address
1717 11TH AVE S, BIRMINGHAM, AL 35205-4700
(205) 933-9595
(205) 933-5250
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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