RUSSELL LEE MARTIN

BECKLEY, WV
NPI1730387051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085000520)
Enumeration Date2007-07-09
Last Update Date2007-09-25
Business Address
-- RUSSELL LEE MARTIN PA-C
200 VETERANS AVE
BECKLEY, WV 25801-6444
Phone number: 304-255-2121
Mailing Address
-- RUSSELL LEE MARTIN PA-C
775 MOUNT VIEW RD
COOL RIDGE, WV 25825-9511
Phone number: 304-228-0626
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