RUSSELL ALLEN DISCH

ALBUQUERQUE, NM
NPI1881260388
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-06-03
Last Update Date2021-06-13
Business Address
RUSSELL ALLEN DISCH
5504 MENAUL BLVD NE STE F
ALBUQUERQUE, NM 87110-3184
Phone number: 505-348-2868
Mailing Address
RUSSELL ALLEN DISCH
6027 REDONDO SIERRA VIS NE
RIO RANCHO, NM 87144-0607
Phone number: 505-228-6289
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