DR. DALLAS M RUSSELL MD - NPI 1609879253 - Specialist in Birmingham, AL

Q: What is Dallas Russell's NPI number?

The NPI number for Dallas Russell is 1609879253. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Q: What is Dallas Russell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Dallas Russell was last updated on March 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Dallas M Russell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALLAS M RUSSELL MD (NPI 1609879253) is an individual specialist in Birmingham, Alabama, licensed in Alabama (12098) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1609879253

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. DALLAS M RUSSELLCredential: MD

Location Address790 MONTCLAIR RD, STE 210Birmingham, AL 35213-1966

Mailing Address790 Montclair Rd, Ste 210Birmingham, AL 35213-1966 · (205) 595-3600 · Fax (205) 595-3663

Phone(205) 595-3600

Fax(205) 595-3663

Sole ProprietorNo

Enumeration DateMay 27, 2005

Last NPPES UpdateMarch 20, 2008

✔ NPI 1609879253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AL · 12098

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 12098 (AL)

790 MONTCLAIR RD, Birmingham, AL 35213

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