RUSSELL VAUGHN MAPLES

FORT WAYNE, IN
NPI1871556951
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: IN  01058221A)
Additional Taxonomies207K00000X Allergy & Immunology
(Licence: GA  019557)
207K00000X Allergy & Immunology
(Licence: SC  17076)
207K00000X Allergy & Immunology
(Licence: HI  MD - 11810)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IN  01058221A)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: GA  019557)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: SC  17076)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: HI  MD - 11810)
Enumeration Date2006-04-10
Last Update Date2012-03-14
Business Address
Dr. RUSSELL VAUGHN MAPLES M.D.
7222 ENGLE ROAD
FORT WAYNE, IN 46804-2222
Phone number: 260-432-5005
Mailing Address
Dr. RUSSELL VAUGHN MAPLES M.D.
7222 ENGLE ROAD
FORT WAYNE, IN 46804-2222
Phone number: 260-432-5003