ROGER BIVINS RUSSELL

RALEIGH, NC
NPI1588668529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: NC  27515)
Enumeration Date2005-06-08
Last Update Date2010-12-29
Business Address
-- ROGER BIVINS RUSSELL MD
3633 HARDEN RD STE 200
RALEIGH, NC 27607-3369
Phone number: 919-785-0505
Mailing Address
-- ROGER BIVINS RUSSELL MD
3633 HARDEN RD STE 200
RALEIGH, NC 27607-3369
Phone number: 919-785-0505
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