Individual
JAMES CRAIG RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD, STE 400, PHOENIX, AZ 85013-4222
(602) 406-3874
(602) 406-4011
Mailing address
FILE 56765, LOS ANGELES, CA 90074-6765
(602) 406-3860
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21323
AZ
2086S0127X
Trauma Surgery Physician
Primary
21323
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142042
—
AZ
Enumeration date
06/14/2005
Last updated
05/15/2012
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