| Richard R Russell, PA | |
|
1915 W 5950 S, Roy, UT 84067-1454 | |
| (801) 387-8100 | |
| Not Available |
| Full Name | Richard R Russell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1915 W 5950 S, Roy, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184647786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1016831206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard R Russell, PA Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 387-8100 | Richard R Russell, PA 1915 W 5950 S, Roy, UT 84067-1454 Ph: (801) 387-8100 |
Jessica Wozab, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Rodney K Grogan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3485 W 5200 S, Roy, UT 84067 Phone: 801-475-3900 Fax: 801-475-3901 | |
Nicholas James Biggs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1915 W 5950 S, Roy, UT 84067 Phone: 801-387-8100 | |
Jeffery W Anderson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5640 S 3500 W, Roy, UT 84067 Phone: 801-773-2838 Fax: 801-773-3025 | |
Vicki L Berger, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5991 S 3500 W, Roy, UT 84067 Phone: 801-773-8644 Fax: 801-985-0486 | |
Mr. Micheal Shawn Dawson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5640 S 3500 W, Roy, UT 84067 Phone: 801-773-2838 Fax: 801-773-3025 |