Dr. Daniel F Russell, OD
Optometrist in Johnstown, PA. Individual provider (NPI-1).
NPI number1619902004
StatusActive
Last updated in NPPESDec 4, 2013
Details
- NPI
- 1619902004
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel F Russell
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Last updated
- Dec 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG000768 | PA | Yes |
Practice location
865 Eisenhower BlvdJohnstown, PA 15904-3327
Phone 814-266-8840 · Fax 814-266-2176
Mailing address
1322 Eisenhower BlvdJohnstown, PA 15904-3307
Phone 814-266-8840 · Fax 814-266-2176
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All 28 Optometrist providers in Johnstown · All 2,299 providers in Johnstown
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