person
Roger Bivins Russell, MD
Plastic and Reconstructive Surgery Physician in Raleigh, North Carolina
NPI 1588668529

Roger Bivins Russell is a Plastic and Reconstructive Surgery Physician based in Raleigh, NC and is specialized in Plastic and Reconstructive Surgery. Roger Bivins Russell practices in Raleigh, NC and has the professional credentials of MD. The NPI Number for Roger Bivins Russell is 1588668529 and holds a License No. 27515 (North Carolina).

The current practice location address for Roger Bivins Russell is 3633 Harden Rd, Raleigh, NC and can be reached out via phone at 919-785-0505 and via fax at 919-785-0205. You can also correspond with Roger Bivins Russell through the mailing address at 3633 HARDEN RD, RALEIGH, NC - 27607-3369 (mailing address contact number: 919-785-0505).

Location: 3633 Harden Rd, Raleigh, NC, 27607-3369
person
Provider Profile Details
NPI Number
1588668529
Provider Name
Roger Bivins Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3633 Harden Rd, Raleigh, NC, 27607-3369
Phone Number
919-785-0505
Fax Number
919-785-0205
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74061 01 NC BCBS
8974061 05 NC
institution
Provider Business Practice Location Address Details
Address
3633 Harden Rd
City
State
Zip
27607-3369
Phone Number
919-785-0505
Fax Number
919-785-0205
person
Provider Business Mailing Address Details
Address
3633 Harden Rd
City
State
Zip
27607-3369
Phone Number
919-785-0505
Fax Number
919-785-0205
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
27515 (North Carolina)
Definition
A surgeon who specializes in plastic and reconstructive surgery.

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