Individual
DR. JAMES MILLER RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2299 PACIFIC AVE APT 81, SAN FRANCISCO, CA 94115-1426
(317) 719-6174
Mailing address
2299 PACIFIC AVE APT 81, SAN FRANCISCO, CA 94115-1426
(317) 719-6174
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
MD179941
OR
2084P0800X
Psychiatry Physician
Primary
G-196097
CA
2084P0800X
Psychiatry Physician
MD179941
OR
Other
Enumeration date
03/24/2009
Last updated
06/10/2026
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