Anthony Otis Russell in Tallahassee - Addiction Medicine
Anthony Otis Russell - NPI 1467454322
Anthony Otis Russell is a Addiction Medicine in Tallahassee, Florida. Anthony Otis Russell practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Anthony Otis Russell is 1467454322. The last update date is 2022-08-19.
Anthony Otis Russell's current location address is 1633 Physicians Dr, Tallahassee, Florida. You can contact this provider via phone number 8504313276. The mailing address for Anthony Otis Russell is 1633 Physicians Dr, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Otis Russell |
|---|---|
| Address | 1633 Physicians Dr, Tallahassee, Florida |
| Phone Number | 8504313276 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467454322 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2022-08-19 |
Provider Mailing Address Detail
| Address | 1633 Physicians Dr |
|---|---|
| City | Tallahassee |
| State | Florida (FL) |
| Post Code | 323084620 |
| Phone Number | 8504313276 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | ME127853 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18286400 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Anthony Otis Russell by the Centers for Medicare & Medicaid Services?
The Anthony Otis Russell has been issued the NPI (National Provider Identifier) 1467454322. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Anthony Otis Russell's physical address?
The Anthony Otis Russell is physically located at 1633 Physicians Dr, in the city of Tallahassee, FL, with the postal code 323084620.
What is Anthony Otis Russell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Anthony Otis Russell is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 2084A0401X.
On what date did the Anthony Otis Russell receive its 1467454322 assignment from the Centers for Medicare & Medicaid Services?
The Anthony Otis Russell was assigned its 1467454322 by the Centers for Medicare & Medicaid Services on 2005-08-11.
As of what date were the details pertaining to Anthony Otis Russell last refreshed?
The information related to the Anthony Otis Russell, including its address, specialty, and other relevant details, was last updated on 2022-08-19.