Individual
MELISSA D RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3919 N MAPLE ST, SPOKANE, WA 99205-1349
(509) 444-7801
(509) 444-7807
Mailing address
203 N WASHINGTON ST STE 300, SPOKANE, WA 99201-0233
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60157507
WA
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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