Individual
DR. RUSSELL W ROWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1866 BUFORD BLVD, TALLAHASSEE, FL 32308
(850) 878-6998
(850) 656-9293
Mailing address
1866 BUFORD BLVD, TALLAHASSEE, FL 32308
(850) 878-6998
(850) 656-9293
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340099900
—
FL
Enumeration date
04/10/2006
Last updated
03/19/2015
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