Individual
DR. RUSSELL HAL MCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 E MAIN ST, REXBURG, ID 83440-2048
(208) 356-3691
Mailing address
PO BOX 130, REXBURG, ID 83440-0130
(208) 356-3691
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01095027A
IN
207P00000X
Emergency Medicine Physician
M-15454
ID
207P00000X
Emergency Medicine Physician
Primary
MD21946
OR
Other
Enumeration date
06/23/2006
Last updated
01/13/2025
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