| Organization Name: | RUSSELL HARMS DPM PC |
| NPI Number: | 1114162435 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL HARMS (OWNER) |
| Mailing Address: | 1214 E National Ave Suite 130 Brazil |
| State: | IN US |
| Postal Code: | 478342700 |
| Phone Number: | 8124489290 |
| Fax Number: | 8124489296 |
| NPI Enumeration Date: | 12/16/2008 |
| NPI Last Update Date: | 03/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 41000207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |