Individual
DR. RANDY HERSCHEL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1308 BELK BLVD, OXFORD, MS 38655-5302
(662) 234-6551
(662) 234-0468
Mailing address
1308 BELK BLVD, OXFORD, MS 38655-5302
(662) 234-6551
(662) 234-0468
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
08418
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011095
—
MS
Enumeration date
06/02/2006
Last updated
11/30/2007
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