Individual
DR. ELIZABETH RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1070
Mailing address
4286 GLENMOOR RD NW, CANTON, OH 44718
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2011-00805
NC
2085R0202X
Diagnostic Radiology Physician
Primary
35.099013
OH
390200000X
Student in an Organized Health Care Education/Training Program
57-011914
OH
Other
Enumeration date
05/11/2007
Last updated
12/11/2019
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