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Robert Thomason Russell, MD
Pediatric Surgery Physician in Birmingham, Alabama
NPI 1477600328

Robert Thomason Russell is a Pediatric Surgery Physician based in Birmingham, AL and is specialized in Pediatric Surgery. Robert Thomason Russell practices in Birmingham, AL and has the professional credentials of MD. The NPI Number for Robert Thomason Russell is 1477600328 and holds a License No. (Alabama).

The current practice location address for Robert Thomason Russell is 1600 7Th Ave S # Acc300, Birmingham, AL and can be reached out via phone at 205-638-9688.

Location: 1600 7Th Ave S # Acc300, Birmingham, AL, 35233-1711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477600328
Provider Name
Robert Thomason Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 7Th Ave S # Acc300, Birmingham, AL, 35233-1711
Phone Number
205-638-9688
Fax Number
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02875872 05 MS
140183 05 AL
140016 05 AL
institution
Provider Business Practice Location Address Details
Address
1600 7Th Ave S # Acc300
City
Birmingham
State
Alabama
Zip
35233-1711
Phone Number
205-638-9688
Fax Number
person
Provider Business Mailing Address Details
Address
1600 7Th Ave S # Acc300
City
Birmingham
State
Alabama
Zip
35233-1711
Phone Number
205-638-9688
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
31614 (Alabama)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
person
Provider's Taxonomy Details 2
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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