Individual
RUSS WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
4735 N 1ST AVE, TUCSON, AZ 85718-5610
(520) 991-5561
(520) 888-7254
Mailing address
4735 N 1ST AVE, TUCSON, AZ 85718-5610
(520) 991-5561
(520) 888-7254
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1077
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077
LISAC
AZ
Enumeration date
03/25/2009
Last updated
03/25/2009
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