Individual
DR. JONATHAN FOSTER RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2861
(319) 356-1520
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2861
(319) 356-1520
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-48564
IA
207W00000X
Ophthalmology Physician
ME139298
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD-48564
IA
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
MD-48564
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2015
Last updated
09/16/2021
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