NPI 1417080631

Thomas Gerald Russell, MD

Practitioner Emergency Medicine Physician Mayfield, KY

Practice location

Address: 1099 Medical Center Cir, Mayfield, KY 42066-1159
Phone: (270) 251-4242
Fax: (270) 251-4240
Mailing address: 934 State Route 2205, Mayfield, KY 42066-4886

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 27843 (KY)

Other Emergency Medicine providers in Kentucky →

Registry record

NPI: 1417080631
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2007
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.