RUSSELL PERRY MD A MEDICAL CORPORATION NPI 1528015559

NPI Information

RUSSELL PERRY MD, A MEDICAL CORPORATION is a diagnostic radiology radiology in Fort Bragg, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RUSSELL PERRY MD, A MEDICAL CORPORATION NPI is 1528015559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 RIVER DR
FORT BRAGG, CA
ZIP 95437-403
Phone: (707) 961-4665
Fax: (707) 961-4780

The provider's authorized official is Russell Myron Perry .
The authorized official title is President/owner and has the following contact phone number (707) 261-7880.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 9/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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