Organization
PODIATRY ASSOCIATES PC
Active
Parent organization
PODIATRY ASSOCIATES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PODIATRY ASSOCIATES PC
Authorized official
DR. ROBERT I RUSSELL DPM (OWNER/DOCTOR)
(256) 249-2212
Entity
Organization
Contact information
Practice address
401 WEST 3RD STREET, SYLACAUGA, AL 35150-1916
(256) 249-2212
(205) 933-5250
Mailing address
1717 11TH AVE SOUTH, SUITE 402, BIRMINGHAM, AL 35205-4731
(205) 933-9595
(205) 933-5250
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
124
AL
213ES0131X
Foot Surgery Podiatrist
94
AL
Other
Enumeration date
11/02/2007
Last updated
02/27/2013
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