Search › West Virginia › 3747P1801X
Mary Russom
NPI 1902630510 · on the registry since 2024
Practice
- Address
- 164 Sunbeam Rd
Logan, WV 25601 - Phone
- (304) 733-1094
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Sex
- Female
- Record last updated
- 2024-08-27
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 West Virginia