Individual
DR. ROY DALLAS RUSSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HIGHLAND AVE, HANOVER, PA 17331-2297
(717) 637-3711
Mailing address
6581 OREFIELD RD, SPRING GROVE, PA 17362-8962
(717) 632-9955
(717) 632-9893
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD423678
PA
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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