| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952485658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | () | Secondary |
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