Individual
ANN J RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1959 S VAL VISTA DR, SUITE 106, MESA, AZ 85204-7356
(615) 778-4066
Mailing address
720 COOL SPRINGS BLVD, SUITE 300, FRANKLIN, TN 37067-2626
(615) 778-4066
(615) 778-9114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2815
AZ
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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