Russell L Mcclellan MD

NPI 1679507768 - Radiology - 2085R0202X

NPI Details
NPI 1679507768
Gender Male
Enumeration Date 07/11/2006
Last Updated 05/14/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3000 HERRING AVENUE
WACO TX, 76708, US
Phone (254) 202-2000
Fax (254) 753-6229
Business Location
PO BOX 1888
GREENVILLE TX, 75403, US
Phone (800) 945-2455
Fax (903) 453-2541
Toxanomy
Taxonomy Code 2085R0202X
License State Texas
License Number G8913
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According to our database, Russell L Mcclellan MD NPI is 1679507768, taxonomy code is 2085R0202X and license number is G8913, license state is located at Texas. Russell L Mcclellan MD physically located at 3000 Herring Avenue, Waco TX, 76708. NPI Number Russell L Mcclellan MD has the Individual type.

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1679507768 NPI number is provided on an as is basis without warranty of any kind. 1679507768 is maintained by the National Plan & Provider Enumeration System. The contents of Russell L Mcclellan MD are for informational purposes only.