Russell J Proctor Md Llc | |
4223 Orange Beach Blvd Ste. A Orange Beach AL 36561-3459 | |
(251) 981-8713 | |
Not Available |
Full Name | Russell J Proctor Md Llc |
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Speciality | Internal Medicine |
Location | 4223 Orange Beach Blvd, Orange Beach, Alabama |
Authorized Official Name and Position | Russell J Proctor (OWNER) |
Authorized Official Contact | 2519741550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Russell J Proctor Md Llc Po Box 7627 Mobile AL 36670-0627 Ph: (251) 974-1550 | Russell J Proctor Md Llc 4223 Orange Beach Blvd Ste. A Orange Beach AL 36561-3459 Ph: (251) 981-8713 |
NPI Number | 1952485658 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
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1952485658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
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