Joshua Russell, PA-C

NPI #1013485952 in Polson, Montana

Provider Information

NPI Number: 1013485952
Entity Type: Individual
Name: Joshua Russell, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 8, 2018
Last Updated: Nov 27, 2023

Practice Location

Address: 106 RIDGEWATER DR STE A
City: Polson
State: Montana
ZIP Code: 59860-8977
Phone: (406) 883-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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