JEFFREY W RUSSELL

FORT THOMAS, KY
NPI1659337988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: KY  21322)
Additional Taxonomies208600000X Surgery
(Licence: OH  35037666R)
Enumeration Date2006-04-25
Last Update Date2012-10-22
Business Address
-- JEFFREY W RUSSELL MD
85 N GRAND AVE 2ND FLOOR
FORT THOMAS, KY 41075-1793
Phone number: 859-781-2628
Mailing Address
-- JEFFREY W RUSSELL MD
85 N GRAND AVE 2ND FLOOR
FORT THOMAS, KY 41075-1793
Phone number: 859-781-2628
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