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1376501049
RUSSELL GLEN MEDDERS
RALEIGH, NC
NPI
1376501049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: NC 29710)
Enumeration Date
2006-05-03
Last Update Date
2021-07-09
Business Address
Dr. RUSSELL GLEN MEDDERS MD
4600 LAKE BOONE TRAIL SUITE 100
RALEIGH, NC 27607-7529
Phone number: 919-787-1374
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Mailing Address
Dr. RUSSELL GLEN MEDDERS MD
4600 LAKE BOONE TRAIL SUITE 100
RALEIGH, NC 27607-7529
Phone number: 919-787-1374
Copy
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