Individual
DR. MATTHEW RICHARD RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
A133403
CA
2080P0202X
Pediatric Cardiology Physician
Primary
MD61452396
WA
Other
Enumeration date
05/07/2013
Last updated
04/24/2024
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