MACY RUSSELL
Physician Assistant
Active
Individual
NPI: 1174285225
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 50.007165RX (OH) |
Frequently Asked Questions
NPI 1174285225 is the National Provider Identifier for MACY RUSSELL, a Physician Assistant provider located in Oakwood, OH. This NPI was enumerated on October 6, 2021.
MACY RUSSELL practices at 414 OAKWOOD AVE, Oakwood, OH 45409.
Quick Facts
- NPI
- 1174285225
- Type
- Individual
- Enumerated
- Oct 6, 2021
- Last Updated
- Oct 6, 2021
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