Organization
RUSSELL ENGLAND MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL D ENGLAND M.D. (OWNER/PHYSICIAN)
(641) 472-7216
Entity
Organization
Contact information
Practice address
2709 W BRIGGS AVE, STE. 4, FAIRFIELD, IA 52556-2649
(641) 472-7216
Mailing address
2709 W BRIGGS AVE, STE. 4, FAIRFIELD, IA 52556-2649
(641) 472-7216
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD23126
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD23126
STATE MEDICAL LICENSE
IA
Enumeration date
08/29/2016
Last updated
08/31/2016
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