Individual
DR. JOSEPH C RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7794 5 MILE RD, STE 270, CINCINNATI, OH 45230-2368
(513) 624-7900
(513) 624-0401
Mailing address
PO BOX 634984, CINCINNATI, OH 45263-0001
(513) 891-2813
(513) 793-1032
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
35-036708
OH
207R00000X
Internal Medicine Physician
35-036708
OH
Other
Enumeration date
06/06/2006
Last updated
09/18/2017
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