Individual
DR. MATTHEW CRAIG RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 532-7504
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-0001
(619) 532-7400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
123886
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A123886
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A123886
CA
Other
Enumeration date
08/15/2011
Last updated
03/30/2023
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