Individual
JOHN ALDEN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
513 FOREST AVE, SUITE 206, RICHMOND, VA 23229-6850
(804) 288-7980
Mailing address
513 FOREST AVE, SUITE 206, RICHMOND, VA 23229-6850
(804) 288-7980
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101025961
VA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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