Individual
ALAN JAMES RUSSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-6979
Mailing address
649 ATLANTIC RD, NORTH PALM BEACH, FL 33408-4603
(561) 841-8538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3043
FL
Other
Enumeration date
05/06/2006
Last updated
07/08/2007
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