GARY D. RUSSELL

PHOENIX, AZ
NPI1437103306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  1136)
Enumeration Date2006-05-22
Last Update Date2007-07-08
Business Address
-- GARY D. RUSSELL P.A.-C
2525 E ROOSEVELT ST
PHOENIX, AZ 85008-4948
Phone number: 602-344-5651
Mailing Address
-- GARY D. RUSSELL P.A.-C
PO BOX 5177
PHOENIX, AZ 85010-5177
Phone number: 602-344-5651
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