Individual
DR. REID ROBERT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1771 TATE BLVD SE STE 101, HICKORY, NC 28602-4250
(828) 315-5110
(828) 315-3911
Mailing address
1771 TATE BLVD SE STE 101, HICKORY, NC 28602-4250
(828) 315-5110
(828) 315-3911
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2021-02373
NC
207X00000X
Orthopaedic Surgery Physician
5101021890
MI
Other
Enumeration date
06/25/2015
Last updated
10/18/2022
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