DOUGLAS KENDAL RUSSELL

MORGANTOWN, WV
NPI1255842308
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-10-17
Last Update Date2017-10-17
Business Address
DOUGLAS KENDAL RUSSELL PA-C
2000 MON HEALTH MEDICAL PARK DR STE 2300
MORGANTOWN, WV 26505-1134
Phone number: 304-599-8802
Mailing Address
DOUGLAS KENDAL RUSSELL PA-C
1200 J D ANDERSON DR
MORGANTOWN, WV 26505-3494
Phone number: 304-599-8802
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