RUSSELL MADER, M.D.
Dermatology
Active
Individual
NPI: 1871571182
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | Yes | MD0000030476 (TN) |
Frequently Asked Questions
NPI 1871571182 is the National Provider Identifier for RUSSELL MADER, M.D., a Dermatology provider located in Kingsport, TN. This NPI was enumerated on January 6, 2006.
RUSSELL MADER, M.D. practices at 2300 W STONE DR, Kingsport, TN 37660.
Quick Facts
- NPI
- 1871571182
- Type
- Individual
- Enumerated
- Jan 6, 2006
- Last Updated
- Oct 24, 2007
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