Organization · Type 2 NPI

Richard R. Russell, O.d.

Durable Medical Equipment & Medical Supplies · Bastrop, LA

NPI number 1679714158 Active

Practice location

210 S Odom St
Bastrop, LA 71220-4631

Fax (318) 281-7359

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X872-292T (LA)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1679714158

Richard R. Russell, O.d.'s National Provider Identifier is 1679714158, issued on Mar 13, 2009. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Bastrop, LA. The record was last updated on Mar 13, 2009.