Individual
DR. RUSSELL WILLIAM EGGERT
Active
Individual
DR. RUSSELL WILLIAM EGGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME 53875
FL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
ME 53875
FL
Other
Enumeration date
05/16/2007
Last updated
05/24/2010
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