Individual
DAVID RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MANNING DR, ROOM 1107G WEST WING, CHAPEL HILL, NC 27514-4220
(919) 966-1072
(919) 966-0290
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-4000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A112048
CA
Other
Enumeration date
06/06/2007
Last updated
06/10/2024
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