Individual
DR. R. DENIS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
11100 WARNER AVE, SUITE 306, FOUNTAIN VALLEY, CA 92708-7506
(714) 979-0313
(714) 979-0340
Mailing address
11100 WARNER AVE, SUITE 306, FOUNTAIN VALLEY, CA 92708-7506
(714) 979-0313
(714) 979-0340
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1393
CA
Other
Enumeration date
07/07/2005
Last updated
02/15/2008
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