Individual
MATTHEW RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2081 BRONZE STAR DR, WOODLAND, CA 95776-5423
(530) 668-2600
(530) 661-1081
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
24076
CA
Other
Enumeration date
03/28/2020
Last updated
09/26/2025
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