Individual provider · Type 1 NPI

Shane T. Russell, MD

Specialist · Dayton, OH

NPI number 1174558803 Active

Practice location

6780 Loop Rd
Dayton, OH 45459-2161

Call (937) 434-6344 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X35086518 (OH)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174558803

Shane T. Russell, MD's National Provider Identifier is 1174558803, issued on Jul 11, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dayton, OH. The record was last updated on Dec 3, 2021.