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1538158282
RUSSELL H TODD
BOUNTIFUL, UT
NPI
1538158282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: UT 95 293774 1205)
Enumeration Date
2005-10-17
Last Update Date
2020-11-30
Business Address
RUSSELL H TODD MD
620 MEDICAL DR STE 150
BOUNTIFUL, UT 84010-5085
Phone number: 801-298-3247
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Mailing Address
RUSSELL H TODD MD
PO BOX 405831
ATLANTA, GA 30384-5831
Phone number:
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