Russell, Nathan E

Russell, Nathan E is an individual health care provider with primary practice located at 37100 N Gantzel Rd Ste 201A , San Tan Valley AZ 85140-7352. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Russell, Nathan E can be contacted via phone (480) 394-4469.

Contact Information

Primary practice address
37100 N Gantzel Rd Ste 201A San Tan Valley AZ 85140-7352
Phone: (480) 394-4469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 59940 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 59940 Arizona

Profile Details

NPI number 1205360237
LBN Legal business name Russell, Nathan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2017
Last updated Jan 26th, 2021 - about 5 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.

Request for update

Popular Providers