Most Relevant Information
Provider Data
| NPI Number: | 1003597147 |
| Provider Name: | RUSSELL GOLDSBY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/31/2023 |
| Last Updated: | 07/31/2023 |
Provider Practice Location
605 S PATTERSON BLVD
DAYTON
OH
454022649
Practice Location Phone/Fax
| Phone: | 9373954600 |
| Fax: |
Provider Mailing Location
605 S PATTERSON BLVD
DAYTON
OH
454022649
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |