Individual
IAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
PUH SUITE E204, 200 LOTHROP ST, PITTSBURGH, PA 15213
(412) 647-3500
(412) 647-0738
Mailing address
PUH SUITE E204, 200 LOTHROP ST, PITTSBURGH, PA 15213
(412) 647-3500
(412) 647-0738
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT016115
PA
2085R0202X
Diagnostic Radiology Physician
Primary
OS019871
PA
Other
Enumeration date
06/16/2014
Last updated
03/14/2019
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