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Dr. Russell Glen Medders, MD
Otolaryngology Physician in Raleigh, North Carolina
NPI 1376501049

Russell Glen Medders is a Otolaryngology Physician based in Raleigh, NC. Russell Glen Medders practices in Raleigh, NC and has the professional credentials of MD. The NPI Number for Russell Glen Medders is 1376501049 and holds a License No. 29710 (North Carolina).

The current practice location address for Russell Glen Medders is 4600 Lake Boone Trail, Raleigh, NC and can be reached out via phone at 919-787-1374 and via fax at 919-571-8135.

Location: 4600 Lake Boone Trail, Raleigh, NC, 27607-7529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376501049
Provider Name
Russell Glen Medders
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4600 Lake Boone Trail, Raleigh, NC, 27607-7529
Phone Number
919-787-1374
Fax Number
919-571-8135
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040002669 01 NC RAILROAD MEDICARE
1050117 01 NC UNITED HEALTHCARE
8958402 05 NC
58402 01 NC BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
4600 Lake Boone Trail
City
Raleigh
State
North Carolina
Zip
27607-7529
Phone Number
919-787-1374
Fax Number
919-571-8135
person
Provider Business Mailing Address Details
Address
4600 Lake Boone Trail
City
Raleigh
State
North Carolina
Zip
27607-7529
Phone Number
919-787-1374
Fax Number
919-571-8135
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
29710 (North Carolina)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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