Organization
DRS RUSSELL BERKEBILE AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIN WISWELL (CEO)
(440) 989-4480
Entity
Organization
Contact information
Practice address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 734-3131
(706) 653-0615
Mailing address
PO BOX 678950, DALLAS, TX 75267-8950
(800) 841-4236
(706) 653-0615
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7595562
—
OH
Enumeration date
08/11/2005
Last updated
06/06/2024
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