ROBERT C RUSSELL M D S C

SPRINGFIELD, IL
NPI1396835641
Entity TypeOrganization
Authorized ContactROBERT C RUSSELL
Ownerpresiden
217-523-0808
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  036061657)
Enumeration Date2006-10-14
Last Update Date2013-03-21
Business Address
ROBERT C RUSSELL M D S C
320 E CARPENTER ST
SPRINGFIELD, IL 62702-5185
Phone number: 217-523-0808
Mailing Address
ROBERT C RUSSELL M D S C
320 E CARPENTER ST
SPRINGFIELD, IL 62702-5185
Phone number: 217-523-0808
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