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Individual

DR. SPENCER KENT RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7780
Mailing address
874 FOX DR, WINCHESTER, VA 22603-8613
(540) 662-8336

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101265893
VA
207L00000X
Anesthesiology Physician
280063
NY
207L00000X
Anesthesiology Physician
A122347
CA

Other

Enumeration date
04/19/2011
Last updated
08/31/2022
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