Individual
DR. BRUCE WAYNE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
385 BRYAN RD STE 100, COMMUNITY PROFESSIONAL BUILDING, SUMITON, AL 35148-3422
(205) 648-6637
(205) 648-5186
Mailing address
PO BOX 159, SUMITON, AL 35148-0159
(205) 648-6637
(205) 648-5186
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4253
AL
Other
Enumeration date
07/04/2006
Last updated
07/07/2015
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