Individual
DR. RUSSELL CARLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1315 TIBBALS ST, HOLDREGE, NE 68949-1257
(308) 995-2211
Mailing address
1215 TIBBALS ST, HOLDREGE, NE 68949-1261
(308) 995-2211
(308) 995-2989
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
369
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2015
Last updated
07/26/2024
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