Organization
ST. LAWRENCE ORTHOPEDICS SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBI A RUSSELL CPC (BILLING SPECIALIST)
(315) 265-0394
Entity
Organization
Contact information
Practice address
190 OUTER MAIN ST, SUITE 101, POTSDAM, NY 13676-2324
(315) 265-0394
(315) 265-0396
Mailing address
190 OUTER MAIN ST, SUITE 101, POTSDAM, NY 13676-2324
(315) 265-0394
(315) 265-0396
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
239176-1
NY
Other
Enumeration date
07/17/2006
Last updated
04/20/2008
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