Individual
DR. STUART DEAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7600
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-8991
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
9501400
NC
207RC0000X
Cardiovascular Disease Physician
9501400
NC
207RC0000X
Cardiovascular Disease Physician
D61810
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405499700
—
MD
Enumeration date
07/12/2006
Last updated
03/27/2024
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