Whalio Doctors

NPI 1306076039

Alvaro H Serrano Russi, MD

Practitioner Clinical Genetics (M.D.) Physician Johnson City, TN

Practice location

Address
325 N. State of Franklin Road Ground Fl, Johnson City, TN 37604
Phone
(423) 439-7320
Mailing address
PO Box 699, Mountain Home, TN 37684-0699

Registered specialties (6)

Clinical Genetics (M.D.) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence 65362 (TN)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 65362 (TN)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence MD436046 (PA)
Clinical Genetics (M.D.) Physician
Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence C1422548 (CA)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 39570 (IA)
Clinical Genetics (M.D.) Physician
Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence MT194028 (PA)

Registry record

NPI
1306076039
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jul 2009
Record last updated
25 Jan 2024

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.