RUSSEL GROVER LADWIG

MADERA, CA
NPI1235163858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA17196)
Enumeration Date2006-07-10
Last Update Date2022-03-23
Business Address
Mr. RUSSEL GROVER LADWIG PAC
9300 VALLEY CHILDRENS PL
MADERA, CA 93636-8762
Phone number: 559-353-3000
Mailing Address
Mr. RUSSEL GROVER LADWIG PAC
644 E PINTAIL CIRCLE
FRESNO, CA 93720-1266
Phone number: 599-433-9282