| Mrs Dawn Marie Russell, PA | |
|
4881 Sugar Maple Dr, 88th Medical Group, Wright Patterson Afb, OH 45433-5250 | |
| (937) 257-1941 | |
| Not Available |
| Full Name | Mrs Dawn Marie Russell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508906116 | NPI | - | NPPES |
| 0110474 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1076380 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | 50.003959 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dawn Marie Russell, PA 7392 Foxdale Dr, Waynesville, OH 45068-8200 Ph: (513) 855-4163 | Mrs Dawn Marie Russell, PA 4881 Sugar Maple Dr, 88th Medical Group, Wright Patterson Afb, OH 45433-5250 Ph: (937) 257-1941 |
Mr. Clifford Neill Otte, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, 88mdg/sghj, Wright Patterson Afb, OH 45433 Phone: 937-255-7119 | |
Calvin Williams, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 | |
Mr. Thomas Vaughn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 210-455-9000 Fax: 937-656-3700 | |
Dr. Griffin Holauchock, DSC. PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9416 | |
Joel T Harris, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-904-0286 | |
Mario Andres Casallas, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-8349 | |
David Paul Supinski Jr., P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr., Er/sgoe, Wright Patterson Afb, OH 45433 Phone: 937-257-0770 |