Individual
ROBERT ISAAC OLEEN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(240) 686-2300
(240) 686-2330
Mailing address
PO BOX 800699, CHARLOTTESVILLE, VA 22908-0816
(434) 924-8485
(434) 982-4118
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101274334
VA
207P00000X
Emergency Medicine Physician
D94009
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
06/01/2022
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