RICHARD R RUSSELL

ROY, UT
NPI1184647786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  1016831206)
Enumeration Date2006-07-25
Last Update Date2008-07-09
Business Address
-- RICHARD R RUSSELL PA
1915 W 5950 S
ROY, UT 84067-1454
Phone number: 801-387-8100
Mailing Address
-- RICHARD R RUSSELL PA
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-8100
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