Individual
MR. RAYMOND G. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5250 FAR HILLS AVE, SUITE 150, KETTERING, OH 45429
(937) 434-4611
(937) 434-9107
Mailing address
2359 LAKEVIEW DR, BEAVERCREEK, OH 45431-3695
(937) 431-5418
(937) 431-5419
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35.036352
OH
207RP1001X
Pulmonary Disease Physician
35036352
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0521537
—
OH
Enumeration date
05/04/2006
Last updated
07/08/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us