Individual
DAVID ELLIOTT HOWARD RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
Mailing address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
139291
CA
208000000X
Pediatrics Physician
Primary
60939084
WA
Other
Enumeration date
06/11/2012
Last updated
07/19/2026
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