Russell Lee Short, IDC
Russell Lee Short, IDC is an Independent Duty Corpsman in Wilmington, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
7513 Brittany Lakes DrWilmington, NC 28411
Phone: (910) 541-5341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1336355239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2007 |
| Last updated in NPPES | July 8, 2007 |
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