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Individual

DR. RICHARD JOHN RUSSELL

Active
Find providers by NPI
Individual

DR. RICHARD JOHN RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2152
WI
207L00000X
Anesthesiology Physician
DR.0051868
CO
207L00000X
Anesthesiology Physician
Primary
MD-51255
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005673
WELLMARK NUMBER
SD
01
050059966
RAILROAD MEDICARE
SD
05
113538400
WY
05
5700780
SD
05
79550762
CO
01
P01223541
RR MEDICARE
CO
Enumeration date
01/12/2006
Last updated
05/31/2023
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