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ALVARO H SERRANO RUSSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 N. STATE OF FRANKLIN ROAD, GROUND FL, JOHNSON CITY, TN 37604
(423) 439-7320
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
65362
TN
207SG0201X
Clinical Genetics (M.D.) Physician
C1422548
CA
207SG0201X
Clinical Genetics (M.D.) Physician
MT194028
PA
208000000X
Pediatrics Physician
39570
IA
208000000X
Pediatrics Physician
65362
TN
208D00000X
General Practice Physician
MD436046
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q074608
TN
Enumeration date
07/15/2009
Last updated
01/25/2024
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