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Telly R Russell, MD
Family Medicine Physician in Maple Valley, Washington
NPI 1780978338

Telly R Russell is a Family Medicine Physician based in Renton, WA. Telly R Russell practices in Maple Valley, WA and has the professional credentials of MD. The NPI Number for Telly R Russell is 1780978338 and holds a License No. MD60403590 (Washington).

The current practice location address for Telly R Russell is 26458 Maple Valley Black Diamond Rd Se Ste A, Maple Valley, WA and can be reached out via phone at 425-690-3465 and via fax at 425-690-9460.

Location: 26458 Maple Valley Black Diamond Rd Se Ste A, Maple Valley, WA, 98057-4970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780978338
Provider Name
Telly R Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
26458 Maple Valley Black Diamond Rd Se Ste A, Maple Valley, WA, 98057-4970
Phone Number
425-690-3465
Fax Number
425-690-9460
Provider Enumeration Date
05/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2020725 05 WA
G8930107 01 WA MEDICARE W VALLEY MEDICAL GROUP - RENTON
institution
Provider Business Practice Location Address Details
Address
26458 Maple Valley Black Diamond Rd Se Ste A
City
Maple Valley
State
Washington
Zip
98038-8350
Phone Number
425-690-3465
Fax Number
425-690-9460
person
Provider Business Mailing Address Details
Address
26458 Maple Valley Black Diamond Rd Se Ste A
City
Maple Valley
State
Washington
Zip
98038-8350
Phone Number
425-690-3465
Fax Number
425-690-9460
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD60403590 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Hospitalist
Speciality
-
Taxonomy
208M00000X
License No.
MD60403590 (Washington)
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
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