Individual
CRYSTAL RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6000 HIGHWAY 98, PENSACOLA, FL 32512-1098
(850) 505-6532
Mailing address
6000 HIGHWAY 98, PENSACOLA, FL 32512-0001
(617) 501-0578
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101244160
VA
Other
Enumeration date
06/29/2007
Last updated
05/23/2024
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