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Mark Russell MD NPI 1003068230

Classification
Orthopaedic Surgery
Type
Diagnostic Radiology
License No.
02003844A
License State
IN
Certified
Location

Additional Identifiers

Medical School
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year
1985
Identifier
Type
State
Identifier: 3043830
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: TN
Identifier: D93199
Type: MEDICARE UPIN (02)
State: TN
Identifier: 0093881
Type: MEDICAID (05)
State: TN

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
4160 LITTLE YORK RD STE 10, DAYTON, OH, 45414
Business Phone
931-393-3000
Mailing Address
4160 LITTLE YORK RD STE 10, DAYTON, OH, 454145803
Mailing Phone
937-415-9100
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