Individual
DR. RUSSELL STOVALL TARVER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6218 FOX BR, TRUSSVILLE, AL 35173-5235
(205) 661-0090
Mailing address
6218 FOX BR, TRUSSVILLE, AL 35173-5235
(205) 661-0090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
07722
MS
Other
Enumeration date
01/10/2006
Last updated
05/02/2016
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