Whalio Doctors

NPI 1063584175

Richard L Russell, MD

Practitioner Internal Medicine Physician Madison, MS

Practice location

Address
106 Highland Way STE 200, Madison, MS 39110-6933
Phone
(601) 200-4141
Fax
(601) 200-4150
Mailing address
PO Box 23666, Jackson, MS 39225-3666

Registered specialties

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 14431 (MS)

Registry record

NPI
1063584175
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Nov 2006
Record last updated
26 Feb 2019

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.