Individual
MAI T RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 12TH AVE S, SEATTLE, WA 98144-2712
(509) 747-4455
(509) 363-7064
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 363-7313
(509) 363-7064
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD00045065
WA
Other
Enumeration date
08/29/2006
Last updated
07/15/2009
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