Individual
DR. GARY D. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
RT 11, LACKAWANNA TRAIL, NICHOLSON, PA 18446
(570) 942-6124
(570) 942-6193
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD044346E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001421212
—
PA
Enumeration date
04/26/2006
Last updated
07/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us