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DAVID ELLIOTT HOWARD RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA UNIVERSITY HEALTH-PEDIATRICS, GENERAL, LOMA LINDA, CA 92354-2804
(909) 558-4174
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354-2804
(909) 558-4174

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
139291
CA

Other

Enumeration date
06/11/2012
Last updated
12/10/2015
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