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1457462897
RUSSELL PHILLIP ANSON FORD
RALEIGH, NC
NPI
1457462897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NC 200100682)
Enumeration Date
2006-08-31
Last Update Date
2007-12-11
Business Address
-- RUSSELL PHILLIP ANSON FORD MD
3000 NEW BERN AVE
RALEIGH, NC 27610-1231
Phone number: 919-350-5645
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Mailing Address
-- RUSSELL PHILLIP ANSON FORD MD
PO BOX 18139
RALEIGH, NC 27619-8139
Phone number:
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