Individual
CHRISTOPHER G RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6511
Mailing address
2696 S SIERRA MADRE UNIT F17, PALM SPRINGS, CA 92264-9465
(901) 832-4071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
171481
TN
163W00000X
Registered Nurse
95225332
CA
367500000X
Certified Registered Nurse Anesthetist
23064
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
95001385
CA
Other
Enumeration date
05/17/2017
Last updated
06/15/2021
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