Search › Ohio › 174400000X
Shane Russell, MD
NPI 1174558803 · on the registry since 2006 · sole proprietor
Practice
- Address
- 6780 Loop Rd
Dayton, OH 45459 - Phone
- (937) 434-6344
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio