Organization
NATHAN RUSSELL, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN RUSSELL MD (MEMBER)
(480) 331-9031
Entity
Organization
Contact information
Practice address
21761 E DOMINGO RD, QUEEN CREEK, AZ 85142-4105
(480) 331-9031
Mailing address
21761 E DOMINGO RD, QUEEN CREEK, AZ 85142-4105
(480) 331-9031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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