Individual
RUSS MICHAEL GUIDRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 19TH STREET SOUT, BIRMINGHAM, AL 35249-0001
(205) 934-7120
Mailing address
619 19TH STREET SOUT, BIRMINGHAM, AL 35249-0001
(205) 934-7120
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41916
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/12/2019
Last updated
05/14/2025
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