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Individual

RUSSELL ALLEN SAUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2005-01332
NC
207L00000X
Anesthesiology Physician
Primary
35.061593
OH
207LP3000X
Pediatric Anesthesiology Physician
ME137991
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101510200
FL
05
PENDING
OH
Enumeration date
04/11/2006
Last updated
02/04/2022
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