Individual
ROBERT AUSTIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 E GUADALUPE RD STE 109, GILBERT, AZ 85234-5114
(480) 785-2100
Mailing address
2550 E GUADALUPE RD STE 109, GILBERT, AZ 85234-5114
(480) 785-2100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4351044614
MI
Other
Enumeration date
06/10/2019
Last updated
06/29/2023
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