RUSSELL DAVID MADER

KINGSPORT, TN
NPI1871571182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: TN  MD0000030476)
Enumeration Date2006-01-06
Last Update Date2007-10-24
Business Address
-- RUSSELL DAVID MADER M.D.
2300 W STONE DR
KINGSPORT, TN 37660-2360
Phone number: 423-246-4961
Mailing Address
-- RUSSELL DAVID MADER M.D.
2300 W STONE DR
KINGSPORT, TN 37660-2360
Phone number: 423-246-4961
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