Individual
TIFFANI RENEE RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
325 S BELMONT ST, YORK, PA 17403-2608
(717) 849-5730
Mailing address
325 S BELMONT ST, YORK, PA 17403-2608
(717) 849-5730
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS14624
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2011
Last updated
03/14/2016
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