Individual
MS. ALI NELL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4900 E KENTUCKY AVE, DENVER, CO 80246-2365
(303) 756-0101
(303) 756-1408
Mailing address
4900 E KENTUCKY AVE, DENVER, CO 80246-2365
(303) 756-0101
(303) 756-1408
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0062108
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0005997
CO
Other
Enumeration date
04/01/2016
Last updated
02/06/2020
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