Individual
DR. RUSSELL JOHN RYBKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
326 MAIN ST, 125, CUMBERLAND, ME 04021-3904
(207) 829-6463
(207) 829-6513
Mailing address
326 MAIN ST, P.O. BOX 125, CUMBERLAND, ME 04021-3904
(207) 829-6463
(207) 829-6513
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
233
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037988
ANTHEM
—
Enumeration date
02/23/2007
Last updated
07/08/2007
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