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Individual

RUSSELL STANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8122 DATAPOINT DR STE 700, SAN ANTONIO, TX 78229-3444
(210) 899-1026
(210) 692-0805
Mailing address
12450 NETWORK BLVD STE 103, SAN ANTONIO, TX 78249-3466
(210) 899-1026
(210) 314-3632

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1853
TX

Other

Enumeration date
05/18/2008
Last updated
12/19/2022
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