Russell Harms Dpm Pc

NPI 1114162435 - Podiatrist - 213ES0103X

NPI Details
NPI 1114162435
Enumeration Date 12/16/2008
Last Updated 03/22/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RUSSELL RUSSELL
Position OWNER
Phone (812) 448-9290
Fax (812) 448-9296
Practice Location
1214 E NATIONAL AVE
SUITE 130
BRAZIL IN, 47834-2700, US
Phone (812) 448-9290
Fax (812) 448-9296
Business Location
1214 E NATIONAL AVE
SUITE 130
BRAZIL IN, 47834-2700, US
Phone (812) 448-9290
Fax (812) 448-9296
Toxanomy
Taxonomy Code 213ES0103X
License State Indiana
License Number 41000207
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According to our database, Russell Harms Dpm Pc NPI is 1114162435, taxonomy code is 213ES0103X and license number is 41000207, license state is located at Indiana. Russell Harms Dpm Pc physically located at 1214 E National Ave, Brazil IN, 47834-2700. NPI Number 1033115704 has the healthcare provider type.

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1114162435 NPI number is provided on an as is basis without warranty of any kind. 1114162435 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Harms Dpm Pc are for informational purposes only.