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Ryan Pierce Russell
Student in an Organized Health Care Education/Training Program in Lewisburg, West Virginia
NPI 1326711748

Ryan Pierce Russell is a Student in an Organized Health Care Education/Training Program based in Ronceverte, WV. Ryan Pierce Russell practices in Lewisburg, WV. The NPI Number for Ryan Pierce Russell is 1326711748 and holds a License No. (West Virginia).

The current practice location address for Ryan Pierce Russell is 400 Jefferson St. North, Lewisburg, WV and can be reached out via phone at 304-645-3220. You can also correspond with Ryan Pierce Russell through the mailing address at 522 RONCEVERTE AVE, RONCEVERTE, WV - 24970-1322 (mailing address contact number: 205-910-6785).

Location: 400 Jefferson St. North, Lewisburg, WV, 24970-1322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326711748
Provider Name
Ryan Pierce Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 Jefferson St. North, Lewisburg, WV, 24970-1322
Phone Number
304-645-3220
Fax Number
Provider Enumeration Date
07/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Jefferson St. North
City
Lewisburg
State
West Virginia
Zip
24901-2490
Phone Number
304-645-3220
Fax Number
person
Provider Business Mailing Address Details
Address
522 Ronceverte Ave
City
Ronceverte
State
West Virginia
Zip
24970-1322
Phone Number
205-910-6785
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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