Individual
STEPHEN MARK RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101275578
VA
207Y00000X
Otolaryngology Physician
Primary
78408
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2021
Last updated
06/24/2026
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