RUSSELL WALLACE NORDQUIST

SACRAMENTO, CA
NPI1043700354
Former NameRUSSELL WALLACE BUTLER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-05-11
Last Update Date2025-03-22
Business Address
Dr. RUSSELL WALLACE NORDQUIST MD
4400 V ST
SACRAMENTO, CA 95817-1445
Phone number: 916-734-2525
Mailing Address
Dr. RUSSELL WALLACE NORDQUIST MD
4400 V ST
SACRAMENTO, CA 95817-1445
Phone number: 916-734-2525