Individual
DR. TOD S RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 JABARA AVE, SEYMOUR JOHNSON AFB, GOLDSBORO, NC 27531-2310
(919) 722-0928
(919) 722-1952
Mailing address
1050 JABARA AVE, SEYMOUR JOHNSON AFB, GOLDSBORO, NC 27531-2310
(919) 722-0928
(919) 722-1952
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD048688L
PA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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