Dr. Russell K Hales, M.D.
in Baltimore, MD. Individual provider (NPI-1).
NPI number1033255138
StatusActive
Last updated in NPPESFeb 7, 2013
Details
- NPI
- 1033255138
- Entity type
- Individual (NPI-1)
- Name
- Dr. Russell K Hales
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Feb 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | D70510 | MD | Yes | |
| 2085R0001X | V0120 | MD |
Practice location
4940 Eastern AveBaltimore, MD 21224-2735
Phone 410-955-7390
Mailing address
Po Box 64474Baltimore, MD 21264-4474
Phone 410-550-8551
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