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Individual

DR. JONATHAN RUSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
127 N AVALON DR, LOS ALTOS, CA 94022-2318
(650) 961-1102
(650) 887-2277
Mailing address
PO BOX 1725, LOS ALTOS, CA 94023-1725
(650) 961-1102
(650) 887-2277

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G11925
CA

Other

Enumeration date
01/22/2007
Last updated
07/21/2022
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