Wesley Alan Russell in Fort Wayne - Radiation Oncology
Wesley Alan Russell - NPI 1508029497
Wesley Alan Russell is a Radiation Oncology in Fort Wayne, Indiana. Wesley Alan Russell practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Wesley Alan Russell is 1508029497. The last update date is 2018-06-15.
Wesley Alan Russell's current location address is 7910 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604364116 and fax number 2604592504. The mailing address for Wesley Alan Russell is 7910 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wesley Alan Russell |
|---|---|
| Address | 7910 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604364116 |
| Fax Number | 2604592504 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508029497 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2018-06-15 |
Provider Mailing Address Detail
| Address | 7910 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468044159 |
| Phone Number | 2604364116 |
| Fax Number | 2604592504 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | 01072532A |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201163340 | IN | -- | |
| 83773 | OH | -- | |
| 1508029497 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wesley Alan Russell by the Centers for Medicare & Medicaid Services (CMS)?
The Wesley Alan Russell has been assigned the NPI (National Provider Identifier) 1508029497. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Wesley Alan Russell located?
The Wesley Alan Russell is located at 7910 W Jefferson Blvd, Fort Wayne, IN 468044159.
What is the Wesley Alan Russell's specialty and taxonomy code?
The Wesley Alan Russell's specialty is Radiation Oncology, and the corresponding taxonomy code is 2085R0001X.
On what date was the 1508029497 assigned to Wesley Alan Russell?
The Wesley Alan Russell was issued its 1508029497 on 2008-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Wesley Alan Russell's information last updated?
The Wesley Alan Russell's information was last updated on 2018-06-15.