Individual
DAVID JULIUS RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1617 N CALIFORNIA ST, STE. 2F, STOCKTON, CA 95204-6117
(209) 466-8546
(209) 466-3335
Mailing address
PO BOX 1090, LODI, CA 95241-1090
(209) 334-1800
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A14817
CA
Other
Enumeration date
06/28/2012
Last updated
09/16/2022
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