Individual
MR. RUSSELL M ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 NICHOLASVILLE RD, #701, LEXINGTON, KY 40503-1475
(859) 276-0414
(859) 276-3765
Mailing address
230 LEXINGTON GREEN CIR, STE 600, LEXINGTON, KY 40503-3326
(859) 971-4695
(859) 971-4604
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
29507
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64295074
—
KY
Enumeration date
08/02/2005
Last updated
11/15/2017
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