Individual
DR. RUSSELL NELSON HIRST JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1565 S 800 E, LEWISTON, UT 84320-2023
(435) 258-2441
(435) 258-5266
Mailing address
1565 S 800 E, LEWISTON, UT 84320-2023
(435) 258-2441
(435) 258-5266
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
71-1522551205
UT
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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