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Contact Information

RUSSELL S DILLEY, MD
1400 N RITTER AVE
SUITE # 520
INDIANAPOLIS, IN46219-3052
 Phone: 317-355-1234
 Fax: 317-355-1505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for RUSSELL S DILLEY · (Male)

NPI # 1891724167
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 09/07/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01026646
  • IN Medicaid 100064180A
  • IN Other P01214606 RR MEDICARE PTAN
Hospital affiliation(s)
  • RIVERVIEW HOSPITAL - (Acute Care)
    395 WESTFIELD RD
    NOBLESVILLE, IN 46060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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