James Craig Russell, M.D.
Surgery, Trauma Surgery in Phoenix, AZ. Individual provider (NPI-1).
NPI number1982609244
StatusActive
Last updated in NPPESMay 15, 2012
Details
- NPI
- 1982609244
- Entity type
- Individual (NPI-1)
- Name
- James Craig Russell
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2005
- Last updated
- May 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0127X | Surgery, Trauma Surgery | 21323 | AZ | Yes |
| 174400000X | Specialist | 21323 | AZ |
Practice location
500 W Thomas RdSte 400
Phoenix, AZ 85013-4222
Phone 602-406-3874 · Fax 602-406-4011
Mailing address
File 56765Los Angeles, CA 90074-6765
Phone 602-406-3860 · Fax 602-406-6132
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