Tyler Joseph Russell, | |
2403 Indiana Ave, Fort Campbell, KY 42223-5314 | |
(270) 412-5114 | |
Not Available |
Full Name | Tyler Joseph Russell |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 2403 Indiana Ave, Fort Campbell, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699278101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | OS16674 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tyler Joseph Russell, 8901 Wisconsin Ave, Bethesda, MD 20889-0004 Ph: () - | Tyler Joseph Russell, 2403 Indiana Ave, Fort Campbell, KY 42223-5314 Ph: (270) 412-5114 |
Dr. Nicholas Spinuzza, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8372 | |
Meagan Logan, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8747 | |
Dr. Oluwaseyi Adekemi Gbade-alabi, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-5230 |