Individual
ADAM RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 PACIFIC CASCADES DR, HENDERSON, NV 89012-5669
(801) 900-3051
Mailing address
650 PACIFIC CASCADES DR, HENDERSON, NV 89012-5669
(801) 900-3051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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