Individual
DR. AIMEE GEORGE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3700 SOUTHERN BLVD., SUITE 101, KETTERING, OH 45429-1226
(937) 281-3810
(937) 281-3812
Mailing address
3700 SOUTHERN BLVD., SUITE 101, KETTERING, OH 45429-1226
(937) 281-3810
(937) 281-3812
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35086805
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2697407
—
OH
Enumeration date
06/07/2006
Last updated
11/24/2020
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