Andrew Russell, DO Valid NPI
Individual provider · Family Medicine Physician · Monte Vista, CO
- NPI
- 1669869558
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 0068003 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2015-04-20
- Last updated
- 2022-03-08
Practice location
925 2nd Ave
Monte Vista, CO 81144-1432
(719) 852-2512