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1912085697
ANTHONY W. RUSSELL
VENTURA, CA
NPI
1912085697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A85115)
Enumeration Date
2006-11-01
Last Update Date
2018-09-28
Business Address
ANTHONY W. RUSSELL M.D.
120 N ASHWOOD AVE
VENTURA, CA 93003
Phone number: 805-658-5800
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Mailing Address
ANTHONY W. RUSSELL M.D.
5855 OLIVAS PARK DR
VENTURA, CA 93003-7672
Phone number: 805-667-2801
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