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NPI Code Detail

MEDICARE: RUSSELL MARSH MD

MEDICARE: RUSSELL MARSH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0AL
2207Q00000XFamily Medicine PhysicianMD.45302AL

General Provider Information

NPI Number : 1194347799
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSSELL MARSH MD
Provider Business Mailing Address
First Line : 50 MANNING PL
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-1809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 MANNING PL
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-1809
Country : US
Telephone Number : 205-664-7707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2020
Last Update Date : 08/04/2023

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Directions to “ RUSSELL MARSH MD” Practice Location

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