Individual
RUSSELL GLEN BUHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA SUITE 365B, LOS ANGELES, CA 90095-3075
(310) 825-7921
(310) 794-6553
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A129932
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A129932
CA
207RP1001X
Pulmonary Disease Physician
Primary
A129932
CA
Other
Enumeration date
03/25/2010
Last updated
08/26/2019
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