Wilcox, Russell Tolman
Wilcox, Russell Tolman is an individual health care provider with primary practice located at 4029 Quarter Dome Cir , Rancho Cordova CA 95742-7720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Wilcox, Russell Tolman can be contacted via phone (801) 592-7415.Contact Information
Primary practice address
4029 Quarter Dome Cir
Rancho Cordova CA 95742-7720
Phone: (801) 592-7415
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 95000452 | California |
Profile Details
| NPI number | 1184177065 |
|---|---|
| LBN Legal business name | Wilcox, Russell Tolman |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2016 |
| Last updated | Jan 3rd, 2022 - about 4 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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