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Individual

DR. RUSSELL ELBEY ALLMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14231 SEAWAY RD STE 5003, GULFPORT, MS 39503-4660
(228) 864-4392
(228) 868-7103
Mailing address
PO BOX 1330, GULFPORT, MS 39502-1330
(228) 864-4392
(228) 868-7103

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2012011801
MO
2085R0202X
Diagnostic Radiology Physician
Primary
22614
MS

Other

Enumeration date
11/13/2007
Last updated
11/03/2017
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