Individual
ROXANNE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 327-5660
Mailing address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 327-5660
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2018-0457
NM
Other
Enumeration date
04/02/2014
Last updated
04/25/2019
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