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Individual

DR. ANTHONY ERIC RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
507 PATTEE CANYON DR, MISSOULA, MT 59803-1620
(406) 493-1380
Mailing address
507 PATTEE CANYON DR, MISSOULA, MT 59803-1620
(406) 493-1380

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C-7746
AR

Other

Enumeration date
06/14/2010
Last updated
06/14/2010
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