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Russell Perry Md, A Medical Corporation
Diagnostic Radiology Physician in Fort Bragg, California
NPI 1528015559

Russell Perry Md, A Medical Corporation is a Diagnostic Radiology Physician based in Napa, CA and is specialized in Diagnostic Radiology. Russell Perry Md, A Medical Corporation practices in Fort Bragg, CA. The NPI Number for Russell Perry Md, A Medical Corporation is 1528015559 and holds a License No. (California).

The current practice location address for Russell Perry Md, A Medical Corporation is 700 River Dr, Fort Bragg, CA and can be reached out via phone at 707-961-4665 and via fax at 707-961-4780.

Location: 700 River Dr, Fort Bragg, CA, 94558-0293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528015559
Provider Name
Russell Perry Md, A Medical Corporation
Credential
Provider Entity Type
Organization
Address
700 River Dr, Fort Bragg, CA, 94558-0293
Phone Number
707-961-4665
Fax Number
707-961-4780
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G428120 05 CA
DA6000 01 RAILROAD MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
700 River Dr
City
Fort Bragg
State
California
Zip
95437-5403
Phone Number
707-961-4665
Fax Number
707-961-4780
person
Provider Business Mailing Address Details
Address
700 River Dr
City
Fort Bragg
State
California
Zip
95437-5403
Phone Number
707-961-4665
Fax Number
707-961-4780
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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