Individual
DR. RICHARD F RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 S TIOGA WAY, LAS VEGAS, NV 89117-2735
(702) 256-9666
(702) 256-6676
Mailing address
2221 S TIOGA WAY, LAS VEGAS, NV 89117-2735
(702) 256-9666
(702) 256-6676
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5521
NV
Other
Enumeration date
08/25/2013
Last updated
08/25/2013
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