TRAVIS CHARLES RUSSELL

APO, AP
NPI1801030564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NE  26003)
Enumeration Date2009-04-25
Last Update Date2021-06-10
Business Address
Dr. TRAVIS CHARLES RUSSELL M.D.
18 MDG, UNIT 5142
APO, AP 96368
Phone number: 315-630-4229
Mailing Address
Dr. TRAVIS CHARLES RUSSELL M.D.
PSC 80 BOX 16805
APO, AP 96367-0071
Phone number: 801-678-1416
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