Individual
VICTORIA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BOX 520, 1986 LOWER ELMORE MOUNTAIN ROAD BOX 520, MORRISVILLE, VT 05661-0520
(802) 888-5955
Mailing address
PO BOX 520, 1986 LOWER ELMORE MOUNTAIN RD., MORRISVILLE, VT 05661-0520
(802) 888-5955
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0009995
VT
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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