Robert Austin Russell
Obstetrics & Gynecology in Gilbert, AZ. Individual provider (NPI-1).
NPI number1164081568
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1164081568
- Entity type
- Individual (NPI-1)
- Name
- Robert Austin Russell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2019
- Certification date
- Jun 29, 2023
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4351044614 | MI | Yes |
Practice location
2550 E Guadalupe Rd Ste 109Gilbert, AZ 85234-5114
Phone 480-785-2100
Mailing address
2550 E Guadalupe Rd Ste 109Gilbert, AZ 85234-5114
Phone 480-785-2100
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All 59 Obstetrics & Gynecology Physician providers in Gilbert · All 7,856 providers in Gilbert
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