Dr. Russell Martin Carlson
Foot & Ankle Surgery
520 Valley View Dr
Moline
, Illinois 61265-6152
Dr. Russell Martin Carlson
Foot & Ankle Surgery
520 Valley View Dr
Moline
, Illinois 61265-6152
(309) 762-3690
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Russell Martin Carlson
- 520 Valley View Dr
- Moline, IL
- Zip : 61265-6152
- Fax : (309) 762-3690
- Phone : (309) 762-3621
Second Address
- Dr. Russell Martin Carlson
- 520 Valley View Dr
- Moline, IL
- Zip : 61265-6152
- Fax : (309) 762-3690
- Phone : (309) 762-3621
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 135000650 | IL |
National Provider Identifier
| NPI | 1023271137 |
|---|---|
| Provider Name | Dr. Russell Martin Carlson |
| First Address | Moline, IL 61265-6152 |
| Second Address | Moline, IL 61265-6152 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2008 |
| Last Update Date | 06/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.