Individual
DR. RUSSELL THOMAS BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00012034
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000086662
BLUE CROSS BLUE SHIELD
AL
05
—
000086662
—
AL
01
—
4268838
AETNA
AL
Enumeration date
09/29/2006
Last updated
09/14/2018
Update your record
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