Individual
RUSSELL B CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1810 116TH AVE NE, SUITE 100, BELLEVUE, WA 98004-3058
(425) 455-2275
(425) 455-1511
Mailing address
1810 116TH AVE NE, SUITE 100, BELLEVUE, WA 98004-3058
(425) 455-2275
(425) 455-1511
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00015594
WA
Other
Enumeration date
03/02/2006
Last updated
07/07/2011
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