person
Russell Alexander Shatford, MD
Surgery of the Hand (Surgery) Physician in Louisville, Kentucky
NPI 1073699252

Russell Alexander Shatford is a Surgery of the Hand (Surgery) Physician based in Chicago, KY and is specialized in Surgery of the Hand. Russell Alexander Shatford practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Russell Alexander Shatford is 1073699252 and holds a License No. 30782 (Kentucky).

The current practice location address for Russell Alexander Shatford is 315 E Broadway, Louisville, KY and can be reached out via phone at 502-629-4263 and via fax at 502-629-4282. You can also correspond with Russell Alexander Shatford through the mailing address at PO BOX 776351, CHICAGO, IL - 60677-6351 (mailing address contact number: 502-588-9490).

Location: 315 E Broadway, Louisville, KY, 60677-6351
person
Provider Profile Details
NPI Number
1073699252
Provider Name
Russell Alexander Shatford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
315 E Broadway, Louisville, KY, 60677-6351
Phone Number
502-629-4263
Fax Number
502-629-4282
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000057058U 01 KY HUMANA - LAH
4632527 01 KY CIGNA - LAH
64307820 05 KY
000000694192 01 KY ANTHEM - LAH
121306 01 KY SIHO - LAH
50030992 01 KY PASSPORT/PASSPORT ADVANTAGE - LAH
institution
Provider Business Practice Location Address Details
Address
315 E Broadway
City
State
Zip
40202-3700
Phone Number
502-629-4263
Fax Number
502-629-4282
person
Provider Business Mailing Address Details
Address
Po Box 776351
City
State
Zip
60677-6351
Phone Number
502-588-9490
Fax Number
502-272-5116
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
License No.
30782 (Kentucky)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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