Russell Perry Md, A Medical Corporation in Fort Bragg - Diagnostic Radiology
Russell Perry Md, A Medical Corporation - NPI 1528015559
Russell Perry Md, A Medical Corporation is a Diagnostic Radiology in Fort Bragg, California. Russell Perry Md, A Medical Corporation practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Russell Perry Md, A Medical Corporation is 1528015559. The last update date is 2013-09-05.
Russell Perry Md, A Medical Corporation's current location address is 700 River Dr, Fort Bragg, California. You can contact this provider via phone number 7079614665 and fax number 7079614780. The mailing address for Russell Perry Md, A Medical Corporation is 700 River Dr, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russell Perry Md, A Medical Corporation |
|---|---|
| Address | 700 River Dr, Fort Bragg, California |
| Phone Number | 7079614665 |
| Fax Number | 7079614780 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Perry Myron Russell |
| Credentials | MD |
| Telephone Number | 7072617880 |
NPI Number Detail
| NPI Number | 1528015559 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2013-09-05 |
Provider Mailing Address Detail
| Address | 700 River Dr |
|---|---|
| City | Fort Bragg |
| State | California (CA) |
| Post Code | 954375403 |
| Phone Number | 7079614665 |
| Fax Number | 7079614780 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G428120 | CA | -- | |
| DA6000 | RAILROAD MEDICARE PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Russell Perry Md, A Medical Corporation by the Centers for Medicare & Medicaid Services?
The Russell Perry Md, A Medical Corporation has been assigned the NPI (National Provider Identifier) 1528015559. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Russell Perry Md, A Medical Corporation?
The Russell Perry Md, A Medical Corporation is situated at 700 River Dr, in the city of Fort Bragg, state of CA, with the zip code 954375403.
What is Russell Perry Md, A Medical Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Russell Perry Md, A Medical Corporation's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did the Russell Perry Md, A Medical Corporation receive the assignment of its 1528015559 from the Centers for Medicare & Medicaid Services?
The Russell Perry Md, A Medical Corporation was issued its 1528015559 by the Centers for Medicare & Medicaid Services on 2006-05-27.
When was the information regarding Russell Perry Md, A Medical Corporation most recently updated?
The details pertaining to the Russell Perry Md, A Medical Corporation, including its address, specialty, and other relevant information, were last refreshed on 2013-09-05.
NPI Number: 1912900226
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