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1215564265
SAMUEL PETER RUSSELL
SAN DIEGO, CA
NPI
1215564265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A186031)
Enumeration Date
2020-03-26
Last Update Date
2023-05-10
Business Address
DR. SAMUEL PETER RUSSELL MD
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-8800
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Mailing Address
DR. SAMUEL PETER RUSSELL MD
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 92123-4223
Phone number: 858-309-6300
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