Individual
DR. RUSSELL D. BEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2829 LAMAR AVE., MEMPHIS, TN 38114-5016
(901) 345-6700
(901) 345-6755
Mailing address
2829 LAMAR AVE, MEMPHIS, TN 38114-5016
(901) 345-6700
(901) 345-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD15534
TN
207R00000X
Internal Medicine Physician
Primary
MD15534
TN
2083X0100X
Occupational Medicine Physician
MD15534
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3852978
—
TN
Enumeration date
05/26/2006
Last updated
03/28/2025
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