RUSSELL PHILIP LIBBY

BRISTOL, TN
NPI1902216740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: TX  S5214)
Additional Taxonomies208800000X Urology
(Licence: TN  70724)
Enumeration Date2014-05-02
Last Update Date2024-03-13
Business Address
RUSSELL PHILIP LIBBY MD
1 MEDICAL PARK BLVD
BRISTOL, TN 37620-7430
Phone number: 423-844-1211
Mailing Address
RUSSELL PHILIP LIBBY MD
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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