person
Dr. Charles E Russell, MD
Addiction Medicine (Preventive Medicine) Physician in Beavercreek, Ohio
NPI 1245220912

Charles E Russell is an Addiction Medicine (Preventive Medicine) Physician based in Dayton, OH and is specialized in Addiction Medicine. Charles E Russell practices in Beavercreek, OH and has the professional credentials of MD. The NPI Number for Charles E Russell is 1245220912 and holds a License No. 35050063 (Ohio).

The current practice location address for Charles E Russell is 579 Rustic Trl, Beavercreek, OH and can be reached out via phone at 937-718-7677 and via fax at 937-429-7441. You can also correspond with Charles E Russell through the mailing address at PO BOX 31694, DAYTON, OH - 45437-0694 (mailing address contact number: 937-718-7677).

Location: 579 Rustic Trl, Beavercreek, OH, 45437-0694
person
Provider Profile Details
NPI Number
1245220912
Provider Name
Charles E Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
579 Rustic Trl, Beavercreek, OH, 45437-0694
Phone Number
937-718-7677
Fax Number
937-429-7441
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000546225 01 OH ANTHEM
0573348 05 OH
institution
Provider Business Practice Location Address Details
Address
579 Rustic Trl
City
State
Zip
45434-7337
Phone Number
937-718-7677
Fax Number
937-429-7441
person
Provider Business Mailing Address Details
Address
Po Box 31694
City
State
Zip
45437-0694
Phone Number
937-718-7677
Fax Number
937-429-7441
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
35050063 (Ohio)
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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