Individual
ROBERT M. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 S STILLAGUAMISH AVE, ARLINGTON, WA 98223-1642
(360) 435-2133
Mailing address
505 S 336TH ST STE 600, FEDERAL WAY, WA 98003-5947
(425) 971-1866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00016164
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00016164
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8151409
—
WA
Enumeration date
05/10/2006
Last updated
08/23/2010
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