RUSSELL L ELLIS

DECATUR, AL
NPI1134292766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: AL  00022020)
Enumeration Date2006-11-15
Last Update Date2007-10-22
Business Address
-- RUSSELL L ELLIS MD
1103 16TH AVE SE
DECATUR, AL 35601-3595
Phone number: 256-350-0362
Mailing Address
-- RUSSELL L ELLIS MD
1103 16TH AVE SE
DECATUR, AL 35601-3595
Phone number:
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