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Taylor Russell, DO

Emergency Medicine in West Reading, PA. Individual provider (NPI-1).

NPI number1164048146
StatusActive
Last updated in NPPESJun 25, 2020

Details

NPI
1164048146
Entity type
Individual (NPI-1)
Name
Taylor Russell
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jun 25, 2020
Certification date
Jun 25, 2020
Last updated
Jun 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineOT019801PAYes

Practice location

420 S 5th Ave
West Reading, PA 19611-2143

Phone 484-628-3529

Mailing address

Po Box 13579
Reading, PA 19612-3579

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