Individual
DR. JAMES DAVID RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2621 15TH AVE S, GREAT FALLS, MT 59405-5201
(406) 455-2255
Mailing address
2621 15TH AVE S, GREAT FALLS, MT 59405-5201
(406) 455-2255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2295
MT
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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