Russell Dial, PT | |
1611 W Main St, El Centro, CA 92243-2212 | |
(760) 337-1144 | |
(760) 337-8259 |
Full Name | Russell Dial |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1611 W Main St, El Centro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295798676 | NPI | - | NPPES |
WPT32388C | Other | CA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT32388 (California) | Primary |
Provider Name | Eggleton & Langton Physical Therapy Management Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972229805 PECOS PAC ID: 0840192530 Enrollment ID: O20040122001219 |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Russell Dial, PT 5905 Severin Dr, La Mesa, CA 91942-3806 Ph: (619) 589-2606 | Russell Dial, PT 1611 W Main St, El Centro, CA 92243-2212 Ph: (760) 337-1144 |
Brandon Morlett, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1611 W Main St, El Centro, CA 92243 Phone: 760-337-1144 | |
Dustin John Andrew Miller, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 426 N Imperial Ave, El Centro, CA 92243 Phone: 760-679-0210 Fax: 760-679-0213 | |
Amisha Kishen Lala, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1611 W Main St, El Centro, CA 92243 Phone: 760-337-1144 Fax: 760-337-8259 | |
Hoang Vu Le, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 N Imperial Ave, El Centro, CA 92243 Phone: 760-592-8148 Fax: 760-841-5556 | |
Miss Ann-marie Wurzbach, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 428 N Imperial Ave, El Centro, CA 92243 Phone: 760-353-3422 Fax: 760-353-9163 | |
Drue Alan Bosco, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 N Imperial Ave, El Centro, CA 92243 Phone: 760-592-8148 Fax: 760-841-5556 |