Individual
DR. JOHN R. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 MOBILE INFIRMARY CR. STE. G-805, MOBILE INFIRMARY RADIATION ONCOLOGY, MOBILE, AL 36607-3513
(251) 435-2273
(251) 435-6599
Mailing address
5 MOBILE INFIRMARY CR., STE. G-805, MOBILE, AL 36607-3513
(251) 435-2273
(251) 435-6599
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
11109
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000012148
—
AL
Enumeration date
11/11/2005
Last updated
12/30/2016
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