Russell, Robert Thomason

Russell, Robert Thomason is an individual health care provider with primary practice located at 1600 7Th Ave S # Acc300 , Birmingham AL 35233-1711. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Russell, Robert Thomason can be contacted via phone (205) 638-9688.

Contact Information

Primary practice address
1600 7Th Ave S # Acc300 Birmingham AL 35233-1711
Phone: (205) 638-9688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 31614 Alabama

Profile Details

NPI number 1477600328
LBN Legal business name Russell, Robert Thomason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477600328 NPPES
Mississippi MEDICAID 02875872
Mississippi MEDICAID 140183
Mississippi MEDICAID 140016

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