Byron Dale Russell, MD | |
907 Georgiana St, Port Angeles, WA 98362-3911 | |
(360) 565-0999 | |
(360) 565-9251 |
Full Name | Byron Dale Russell |
---|---|
Gender | Male |
Speciality | Urology |
Location | 907 Georgiana St, Port Angeles, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043215809 | NPI | - | NPPES |
561060 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD00025573 (Washington) | Primary |
Mailing Address | Practice Location Address |
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Byron Dale Russell, MD Po Box 850, Port Angeles, WA 98362-0146 Ph: (360) 565-0999 | Byron Dale Russell, MD 907 Georgiana St, Port Angeles, WA 98362-3911 Ph: (360) 565-0999 |
Dr. Rex Thomas Averill, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Carleen T Bensen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Timothy Hewitt, MD Urology Medicare: Medicare Enrolled Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Laurel S. Mast, MD Urology Medicare: Medicare Enrolled Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 |