BRAD C RUSSELL

BEL AIR, MD
NPI1487696415
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MD  C0003144)
Enumeration Date2006-06-12
Last Update Date2014-06-05
Business Address
-- BRAD C RUSSELL P.A.
520 UPPER CHESAPEAKE DR SUITE 306
BEL AIR, MD 21014-4339
Phone number: 410-879-2006
Mailing Address
-- BRAD C RUSSELL P.A.
520 UPPER CHESAPEAKE DR SUITE 306
BEL AIR, MD 21014-4339
Phone number: 410-879-2006