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Dr Larry J Russell Inc
Clinic/Center in Crawfordsville, Indiana
NPI 1225388044

Dr Larry J Russell Inc is a Clinic/Center based in Crawfordsville, IN. Dr Larry J Russell Inc practices in Crawfordsville, IN. The NPI Number for Dr Larry J Russell Inc is 1225388044 and holds a License No. 08000620A (Indiana).

The current practice location address for Dr Larry J Russell Inc is 406 E South Blvd, Crawfordsville, IN and can be reached out via phone at 765-362-1111 and via fax at 765-362-2609. You can also correspond with Dr Larry J Russell Inc through the mailing address at 406 E SOUTH BLVD, CRAWFORDSVILLE, IN - 47933-3762 (mailing address contact number: 765-362-1111).

Location: 406 E South Blvd, Crawfordsville, IN, 47933-3762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225388044
Provider Name
Dr Larry J Russell Inc
Credential
Provider Entity Type
Organization
Address
406 E South Blvd, Crawfordsville, IN, 47933-3762
Phone Number
765-362-1111
Fax Number
765-362-2609
Provider Enumeration Date
09/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
406 E South Blvd
City
Crawfordsville
State
Indiana
Zip
47933-3762
Phone Number
765-362-1111
Fax Number
765-362-2609
person
Provider Business Mailing Address Details
Address
406 E South Blvd
City
Crawfordsville
State
Indiana
Zip
47933-3762
Phone Number
765-362-1111
Fax Number
765-362-2609
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
08000620A (Indiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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