JEFFREY DANE RUSSELL

BALTIMORE, MD
NPI1518394204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0005160)
Enumeration Date2013-09-26
Last Update Date2013-09-26
Business Address
-- JEFFREY DANE RUSSELL PA-C
900 CATON AVE
BALTIMORE, MD 21229-5201
Phone number: 410-368-2000
Mailing Address
-- JEFFREY DANE RUSSELL PA-C
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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