MR. Jeffrey Wyan Russell, MHS, PA-C

NPI #1043332497 in Anchorage, Alaska

Provider Information

NPI Number
1043332497
Entity Type
Individual
Name
MR. Jeffrey Wyan Russell, MHS, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
MHS, PA-C
Enumeration Date
Apr 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2741 DEBARR RD
Address 2
SUITE C-308
State
Alaska
ZIP Code
99508-2953
Phone
(907) 272-3366

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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