Individual
DR. RUSSELL C HARMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1214 E NATIONAL AVE, SUIT 130, BRAZIL, IN 47834-2700
(812) 448-9290
(812) 448-9296
Mailing address
1214 E NATIONAL AVE, SUIT 130, BRAZIL, IN 47834-2700
(812) 448-9290
(812) 448-9296
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
07001065A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
41000207-A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000601499
ANTHEM
IN
05
—
200910370
—
IN
Enumeration date
05/18/2007
Last updated
03/22/2010
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