Russell, Richard R

Russell, Richard R is an individual health care provider with primary practice located at 1915 W 5950 S , Roy UT 84067-1454. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Russell, Richard R can be contacted via phone (801) 387-8100.

Contact Information

Primary practice address
1915 W 5950 S Roy UT 84067-1454
Phone: (801) 387-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1016831206 Utah

Profile Details

NPI number 1184647786
LBN Legal business name Russell, Richard R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 9th, 2008 - about 18 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.

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