NPI 1053425009

Ricky Gordon Russell, MD

Practitioner Ophthalmology Physician Jackson, MS

Practice location

Address: 501 Marshall St Suite 603, Jackson, MS 39202-1651
Phone: (601) 985-9120
Fax: (601) 985-9122

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 9309 (MS)

Other Ophthalmology providers in Mississippi →

Registry record

NPI: 1053425009
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2006
Record last updated: 29 Jan 2014

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.