NPI 1023180940

Joseph Russell

Practitioner Other Technician Virginia Beach, VA

Practice location

Address: 300 East Main Street 1000, Virginia Beach, VA 23464
Phone: (757) 628-4431
Fax: (757) 628-4355

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Virginia →

Registry record

NPI: 1023180940
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.