Individual
DR. RUSSELL PATRICK GOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3175 SAINT ROSE PKWY FL 2, HENDERSON, NV 89052-3506
(702) 724-8787
(702) 878-3078
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
7818
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019902
—
NV
05
—
121745
—
AZ
01
—
830006195
RAILROAD MEDICARE
NV
Enumeration date
06/29/2005
Last updated
05/16/2025
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