Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Russell Glen Medders, MD

Individual provider Otolaryngology Physician · NPI 1376501049

Dr. Russell Glen Medders, MD is an Otolaryngology Physician in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4600 Lake Boone Trl Ste 100
Raleigh, NC 27607-7529
Phone: (919) 787-1374
Fax: (919) 571-8135
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Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 29710 (NC)

Record details

NPI number1376501049
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

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