Individual
DR. CRAIG WILLIAM RUSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
841 N 2ND AVE UNIT 106, PHOENIX, AZ 85003-1465
(833) 559-4517
(833) 559-4517
Mailing address
841 N 2ND AVE UNIT 106, PHOENIX, AZ 85003-1465
(833) 559-4517
(833) 559-4517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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