Dennis Darrell Russell, MD | |
333 S 900 E, Salt Lake City, UT 84102-2310 | |
(801) 535-8163 | |
(801) 355-4011 |
Full Name | Dennis Darrell Russell |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 333 S 900 E, Salt Lake City, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457376113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 149782-1205 (Utah) | Primary |
Mailing Address | Practice Location Address |
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Dennis Darrell Russell, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 535-8163 | Dennis Darrell Russell, MD 333 S 900 E, Salt Lake City, UT 84102-2310 Ph: (801) 535-8163 |
Caitlin Marie Bolender, MD Dermatology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132 Phone: 801-581-5509 | |
Dr. Lana Ngoc Pho, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6340 Fax: 801-587-6346 | |
Justin F Thulin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1151 E 3900 S, Parkview Building B 259, Salt Lake City, UT 84124 Phone: 801-266-7325 Fax: 801-281-2263 | |
Bahman Sotoodian, MD, FRCP(C), FAAD Dermatology Medicare: Medicare Enrolled Practice Location: 440 W 200 S Ste 250, Salt Lake City, UT 84101 Phone: 801-595-1600 | |
Amber R. Jimenez, MD Dermatology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 4a330, Salt Lake City, UT 84132 Phone: 015-816-4658 | |
Dr. Douglas L Powell, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2955 | |
David A Wada, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr # E13, Salt Lake City, UT 84132 Phone: 801-581-2955 |