RICHARD RUSSELL, PA
Physician Assistant
Active
Individual
NPI: 1184647786
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 1016831206 (UT) |
Frequently Asked Questions
NPI 1184647786 is the National Provider Identifier for RICHARD RUSSELL, PA, a Physician Assistant provider located in Roy, UT. This NPI was enumerated on July 25, 2006.
RICHARD RUSSELL, PA practices at 1915 W 5950 S, Roy, UT 84067.
Quick Facts
- NPI
- 1184647786
- Type
- Individual
- Enumerated
- Jul 25, 2006
- Last Updated
- Jul 9, 2008
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