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1063472504
RUSSELL EUGENE FOTHERGILL
TEMPLE, TX
NPI
1063472504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: TX L2890)
Enumeration Date
2006-03-27
Last Update Date
2021-12-08
Business Address
Dr. RUSSELL EUGENE FOTHERGILL M.D.
1713 SW H K DODGEN LOOP STE 100
TEMPLE, TX 76502-1836
Phone number: 254-771-8100
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Mailing Address
Dr. RUSSELL EUGENE FOTHERGILL M.D.
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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