Individual
MARC PHILLIP RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6348
(859) 260-4350
Mailing address
PO BOX 910670, LEXINGTON, KY 40591-0670
(859) 260-4385
(859) 260-4386
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
40067
KY
Other
Enumeration date
06/05/2006
Last updated
03/08/2010
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