Individual
RUSSELL B PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11911 N MERIDIAN STREET, SUITE 110, CARMEL, IN 46032-6919
(317) 621-1151
(317) 621-1179
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-6818
(317) 621-1179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01045376A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313333
ANTHEM
IN
05
—
200098950
—
IN
01
—
P01291601
RAILROAD MEDICARE
IN
Enumeration date
07/26/2006
Last updated
11/27/2023
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