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Jeff Russ

NPI Registration Record

Provider / OrganizationNPIDate Certified
JEFF RUSS10236270232020-07-24
Entity TypeIndividual
Provider Name Jeff Russ PT
Practice Office Address1300 ALBANY ST
BEECH GROVE, IN US
Practice Office Telephone3177827200
Mailing Address3200 COLD SPRING RD APT 220
INDIANAPOLIS, IN 462221960 US
Business Telephone3173615293
HPT Codes
CodeLicense NoState
225100000X PRIMARY05009096A IN
OPI Codes

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