License holder summary

RUSSELL ROGER BIVINS is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for RUSSELL ROGER BIVINS is RALEIGH NC. This doctor license is not current. The license was granted 12/11/1996.

New York

Office of the Professions

RUSSELL ROGER BIVINS
Medicine (Physician, Including M Ds & D Os)
License number
205270
Date granted
12/11/1996
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
RALEIGH NC
nymedicine.org
ID 30263840
LAST UPDATED 2024-03-13 11:37:35 UTC

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