Russell, George R
Russell, George R is an individual health care provider with primary practice located at 1000 Alpine Ave #50, Boulder CO 80304-3409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Russell, George R can be contacted via phone (303) 444-4864.Contact Information
Primary practice address
1000 Alpine Ave #50
Boulder CO 80304-3409
Phone: (303) 444-4864
Fax: (303) 444-4865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 17600 | Colorado |
Profile Details
| NPI number | 1932178241 |
|---|---|
| LBN Legal business name | Russell, George R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jul 25th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932178241 | NPPES |
| Colorado | Other | 840721166001 | ROCKY MOUNTAIN |
| Colorado | Other | RU78831 | ROCKY MOUNTAIN |
| Colorado | Other | 84072116601 | ROCKY MOUNTAIN |
| Colorado | MEDICAID | 01176007 | ROCKY MOUNTAIN |
| Colorado | Other | 4009828 | ROCKY MOUNTAIN |
| Colorado | Other | 667695 | ROCKY MOUNTAIN |
Popular Providers
-
Resnick, Steven D
3575 Broadway St , Boulder CO 80304-1825 -
Detty, Shannon Quirk
2880 Folsom St Ste 200 , Boulder CO 80304-3769 -
Koger, Cathy Lynn
3434 47Th St Ste 200 , Boulder CO 80301-1817 -
Kallgren, Diane Lucy
3434 47Th St #200, Boulder CO 80301-1880 -
Bailey, Brian N
1230 Chambers Dr , Boulder CO 80305-6729 -
Fix, William Crane
1840 Folsom St Ste 100 , Boulder CO 80302-5712 -
Hong, Steven R
2750 Broadway St , Boulder CO 80304-3573 -
Hale, Jamie
5365 Spine Rd Suite C, Boulder CO 80301-3324