NPI 1083060073
Russell Shults, MD
Practice location
- Address
- 111 Colchester Ave, Burlington, VT 05401-1473
- Phone
- (802) 847-0000
- Mailing address
- 600 Moorland Dr, Johnson City, TN 37604-4424
Registered specialties (2)
Anesthesiology Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1083060073
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 May 2016
- Record last updated
- 22 Oct 2020
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.