Individual
DR. ROSS RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3144
(765) 983-3038
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 935-8802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01084384A
IN
207P00000X
Emergency Medicine Physician
BP10061474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10061474
TEXAS MEDICAL BOARD
TX
Enumeration date
06/02/2017
Last updated
05/18/2021
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