DR. NATHAN RUSSELL, MD

Family Medicine

Active Individual
NPI: 1205360237

Practice Address

37100 N GANTZEL RD STE 201A
San Tan Valley, AZ 85140

Phone: (480) 394-4469

Specialties

Specialty Code Primary License
Hospitalist 208M00000X No 59940 (AZ)
Student in an Organized Health Care Education/Training Program 390200000X No -
Family Medicine 207Q00000X Yes 59940 (AZ)

Frequently Asked Questions

NPI 1205360237 is the National Provider Identifier for DR. NATHAN RUSSELL, MD, a Family Medicine provider located in San Tan Valley, AZ. This NPI was enumerated on April 17, 2017.
DR. NATHAN RUSSELL, MD practices at 37100 N GANTZEL RD STE 201A, San Tan Valley, AZ 85140.

Quick Facts

NPI
1205360237
Type
Individual
Enumerated
Apr 17, 2017
Last Updated
Jan 26, 2021

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