Individual
SUZANNE RENEE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13075 W MCDOWELL STE D106, NEXTCARE URGENT CARE, AVONDALE, AZ 85323
(623) 536-9576
Mailing address
13075 W MCDOWELL STE D106, NEXTCARE URGENT CARE, AVONDALE, AZ 85323
(623) 536-9576
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4220
AZ
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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