Denver Alan Russell, PA Valid NPI

Individual provider · Physician Assistant · Galion, OH

NPI

1871967562

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

50.004618RX (OH)

Sex

Male

Sole proprietor

No

Enumerated

2015-11-18

Last updated

2021-01-11